TAMMY JEAN CROFUTT CNP
NPI 1417204967
Nurse Practitioner - Family in Sioux Falls, SD

Active since August 14, 2012PECOS EnrolledAccepts Medicare Assignment
90.18/100
CMS Quality Rating
810 E 23RD ST, SIOUX FALLS, SD 57105(605) 331-5890(605) 336-3974 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2019, Dec 14, 2018, Aug 20, 2016 (3 updates tracked since 2016).

About Tammy Jean Crofutt Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY JEAN CROFUTT CNP (NPI 1417204967) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000739) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417204967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMMY JEAN CROFUTTCredential: CNP
Location Address810 E 23RD STSioux Falls, SD 57105-2135
Mailing Address810 E 23rd StSioux Falls, SD 57105-2135 · (605) 331-5890 · Fax (605) 336-3974
Fax(605) 336-3974
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 14, 2012
Last NPPES UpdateNovember 25, 20193 updates tracked since enumeration
NPI 1417204967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP000739
810 E 23RD ST, Sioux Falls, SD 57105

Other Identifiers 1

Medicaid6838500SD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tammy Jean Crofutt Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799936217
PECOS Enrollment IDI20121119000555
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
7,200 services14 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,070 services150 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
519 services359 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
249 services193 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
206 services139 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
186 services110 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brookings Health System

Acute Care Hospitals · Brookings, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Flandreau Hospital - Cah

Critical Access Hospitals · Flandreau, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431310
Location214 North Prairie StreetFlandreau, SD 57028 · Moody County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.69
Improvement Activities40
Cost91.67

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
810 E 23RD ST
SIOUX FALLS, SD 57105
Physical Therapist
810 E 23RD ST
SIOUX FALLS, SD 57105
Specialist
810 E 23RD ST
SIOUX FALLS, SD 57105
Physician Assistant
810 E 23RD ST
SIOUX FALLS, SD 57105
Orthopaedic Surgery (Hand Surgery)
810 E 23RD ST
SIOUX FALLS, SD 57105
Physical Therapist
810 E 23RD ST
SIOUX FALLS, SD 57105
Physical Therapist (Orthopedic)
810 E 23RD ST
SIOUX FALLS, SD 57105
Physician Assistant
810 E 23RD ST
SIOUX FALLS, SD 57105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Crofutt's NPI number?

The NPI number for Tammy Crofutt is 1417204967. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Tammy Crofutt located?

Tammy Crofutt practices at 810 E 23rd St, Sioux Falls, SD 57105. The listed phone number is (605) 331-5890.

What is Tammy Crofutt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tammy Crofutt enrolled in Medicare?

Yes. Tammy Crofutt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tammy Crofutt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Tammy Crofutt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tammy Crofutt affiliated with any hospitals?

According to CMS data, Tammy Crofutt is affiliated with Brookings Health System, Avera Mckennan Hospital & University Health Center and Avera Flandreau Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Tammy Crofutt was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.