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TONYA R. VENHUIZEN MATT CNP
NPI 1427097260
Nurse Practitioner - Family in Sioux Falls, SD

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
1301 S. CLIFF AVE, STE 601, SIOUX FALLS, SD 57105(605) 322-6930(605) 322-6931 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tonya R. Venhuizen Matt Cnp NPPES

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

TONYA R. VENHUIZEN MATT CNP (NPI 1427097260) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000141) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1427097260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA R. VENHUIZEN MATTCredential: CNP
Location Address1301 S. CLIFF AVE, STE 601Sioux Falls, SD 57105-1032
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-6930
Fax(605) 322-6931
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 16, 2018
✔ NPI 1427097260 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 · CP000141
1301 S. CLIFF AVE, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Names 1

Former Name (1)Tonya R. Venhuizen

Other Identifiers 16

Other407141053077Preferred One
Other4992678SD · Blue Cross
Medicaid682443000MN
Other92411422905MN · Primewest
Medicaid2920926IA
Other46L65VEMN · Cc Systems/ Blue Plus
Other57105W012SD · Wps Tricare
Other9237741SD · Dakotacare
Other46L65VEMN · Blue Cross
Medicaid6825863SD
Other1427097260SD · Araz/america's Ppo
Other40252SD · Medicare Group #
OtherHP94300Healthpartners
Other255119Midland's Choice
Other370624200SD · Dept Of Labor
Other1427097260SD · Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Tonya R. Venhuizen Matt 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 ID8325083504
PECOS Enrollment IDI20080122000786
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 5

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
93 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

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

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cough stimulating device, alternating positive and negative airway pressure E0482
DME-Other DME · category DE000N
1 supplier11 claims11 services$301.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. TERESA ANN MCGRAW CNP
Nurse Practitioner (Family)
1301 S. CLIFF AVE, STE 401
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7300
PHILLIP E MEEHAN PA
Physician Assistant (Surgical)
1301 S. CLIFF AVE, STE 610
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8860
BRIAN T HURLEY M.D.
Internal Medicine (Pulmonary Disease)
1301 S. CLIFF AVE, STE 601
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6930
THOMAS JOHN RIPPERDA M.D.
Physical Medicine & Rehabilitation
1301 S. CLIFF AVE, STE 401
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7300
MICHAEL RICARD PUUMALA MD
Neurological Surgery
1301 S. CLIFF AVE, STE 610
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8860
NELLI Y SHCHUR CNP
Nurse Practitioner (Family)
1301 S. CLIFF AVE, SUITE 610
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8860

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 Tonya Venhuizen Matt's NPI number?

The NPI number for Tonya Venhuizen Matt is 1427097260. It was assigned to this individual provider in the NPPES registry on June 6, 2006. The provider is also known as Tonya R. Venhuizen.

Where is Tonya Venhuizen Matt located?

Tonya Venhuizen Matt practices at 1301 S. Cliff Ave Ste 601, Sioux Falls, SD 57105. The listed phone number is (605) 322-6930.

What is Tonya Venhuizen Matt's specialty?

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

Is Tonya Venhuizen Matt enrolled in Medicare?

Yes. Tonya Venhuizen Matt 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 Tonya Venhuizen Matt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Tonya Venhuizen Matt 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 Tonya Venhuizen Matt affiliated with any hospitals?

According to CMS data, Tonya Venhuizen Matt is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Tonya Venhuizen Matt was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.