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BON HOMME FAMILY PRACTICE
NPI 1467496158
Clinic/Center - Critical Access Hospital in Tyndall, SD

Active since June 15, 2006
410 W 16TH AVE, TYNDALL, SD 57066(605) 589-2100(605) 589-2115 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2020, Dec 4, 2018 (2 updates tracked since 2018).

About Bon Homme Family Practice NPPES

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

BON HOMME FAMILY PRACTICE (NPI 1467496158) is a healthcare organization registered as a critical access hospital in Tyndall, South Dakota and active in the NPI registry since June 2006. The organization lists Ashli Danilko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467496158
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameST. MICHAEL'S HOSPITAL, INC.
Location Address410 W 16TH AVETyndall, SD 57066-2318
Mailing Address410 W 16th AveTyndall, SD 57066-2318 · (605) 589-2152 · Fax (605) 589-2115
Phone(605) 589-2100
Fax(605) 589-2115
Organization SubpartNo
Authorized OfficialAshli DanilkoCeo · (605) 589-2152
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
✔ NPI 1467496158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
410 W 16TH AVE, Tyndall, SD 57066
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Other Names 1

Doing Business AsBon Homme Family Practice

Other Identifiers 1

Other4996776SD · Nrhc Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bon Homme Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bon Homme Family Practice, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Melvin Wallinga, M.D.
Family Practice
NPI 1053355669
410 WEST 16TH AVE
Tyndall, SD 57066
(605) 589-3341
✔ PECOS✔ Accepts MedicareSame address
Ashley Runyon, CNP
Nurse Practitioner
NPI 1104691062
410 W 16TH AVE
Tyndall, SD 57066
(605) 589-2190
✔ PECOS✔ Accepts MedicareSame address
Karl Demarco, MD
Family Practice
NPI 1205483781
410 W 16TH AVE
Tyndall, SD 57066
(605) 589-2100
✔ PECOS✔ Accepts MedicareSame address
Janelle Kriz, CNP
Nurse Practitioner
NPI 1427674779
410 W 16TH AVE
Tyndall, SD 57066
(605) 589-2190
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St. Michael's Hospital, Inc.'s NPI number?

The NPI number for St. Michael's Hospital, Inc. is 1467496158. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Bon Homme Family Practice.

Where is St. Michael's Hospital, Inc. located?

St. Michael's Hospital, Inc. is located at 410 W 16th Ave, Tyndall, SD 57066. The listed phone number is (605) 589-2100.

What is St. Michael's Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

Is St. Michael's Hospital, Inc. enrolled in Medicare?

Yes. St. Michael's Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Michael's Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to St. Michael's Hospital, Inc., in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St. Michael's Hospital, Inc. was last updated on September 21, 2020. 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.