KATHRYN ANN JELSMA DNP
NPI 1467919522
Nurse Practitioner in Sioux Falls, SD

Active since February 25, 2019PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1305 W 18TH ST, SIOUX FALLS, SD 57105(605) 328-8700 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Ann Jelsma Dnp NPPES

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

KATHRYN ANN JELSMA DNP (NPI 1467919522) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001538) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467919522
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHRYN ANN JELSMACredential: DNP
Location Address1305 W 18TH STSioux Falls, SD 57105-0401
Mailing Address1000 S Blaine AveSioux Falls, SD 57103-2820 · (605) 201-1667
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 25, 2019
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1467919522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · CP001538
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1305 W 18TH ST, Sioux Falls, SD 57105

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

Kathryn Ann Jelsma Dnp 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 ID5193068567
PECOS Enrollment IDI20190529000107
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
414 services211 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
253 services119 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux 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.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
12 suppliers101 claims1,293 services$18.41 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
12 suppliers100 claims3,159 services$2.30 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers23 claims23 services$178.32 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
60 suppliers314 claims938 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
21 suppliers48 claims64 services$1.08 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
5 suppliers57 claims57 services$307.00 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 20

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

Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Neonatal)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH 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 Kathryn Jelsma's NPI number?

The NPI number for Kathryn Jelsma is 1467919522. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Kathryn Jelsma located?

Kathryn Jelsma practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 328-8700.

What is Kathryn Jelsma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathryn Jelsma enrolled in Medicare?

Yes. Kathryn Jelsma 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 Kathryn Jelsma accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Kathryn Jelsma 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 Kathryn Jelsma affiliated with any hospitals?

According to CMS data, Kathryn Jelsma is affiliated with Sanford Luverne Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Kathryn Jelsma was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.