SHELLY RAE TIBKE CNP
NPI 1487008686
Nurse Practitioner - Family in Sioux Falls, SD
About Shelly Rae Tibke Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY RAE TIBKE CNP (NPI 1487008686) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001053) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shelly Rae Tibke 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shelly Tibke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 23 clinicians in this Medicare group
Pipestone, MN 56164
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Pipestone County Medical Center
- Also billed through NPI 1598751240 (Minnesota)
- 71 clinicians in this Medicare group
Gettysburg, SD 57442
- Reassigned Medicare billing, South Dakota enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
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, SDPhysician 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.
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.
SIOUX FALLS, SD 57105
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 Shelly Tibke's NPI number?
The NPI number for Shelly Tibke is 1487008686. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is Shelly Tibke located?
Shelly Tibke practices at 911 E 20th St Ste 700, Sioux Falls, SD 57105. The listed phone number is (605) 334-0393.
What is Shelly Tibke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shelly Tibke enrolled in Medicare?
Yes. Shelly Tibke 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.
Which organizations bill Medicare for Shelly Tibke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Tibke reassigns Medicare benefits to 3 organizations: Surgical Institute Of South Dakota, PC (Sioux Falls, SD), Pipestone County Medical Center Avera (Pipestone, MN) and Avera Gettysburg (Gettysburg, SD). Each 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 Shelly Tibke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelly Tibke accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Shelly Tibke 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 Shelly Tibke affiliated with any hospitals?
According to CMS data, Shelly Tibke is affiliated with Avera Mckennan Hospital & University Health Center.
When was this NPI record last updated?
The NPPES record for Shelly Tibke was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Shelly Rae Tibke, CNP · NPI 1487008686
Family physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since April 14, 2016.
## Identity
- **NPI:** 1487008686 (Entity type: Individual)
- **Enumerated:** April 14, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP001053 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 911 E 20TH ST, STE 700, Sioux Falls, SD 57105-1049
- **Phone:** (605) 334-0393 · **Fax:** (605) 334-0393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Surgical Institute Of South Dakota, PC (NPI 1760569248, Sioux Falls, SD); Pipestone County Medical Center Avera (NPI 1275946485, Pipestone, MN); Avera Gettysburg (NPI 1003887266, Gettysburg, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 6, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1487008686) · Data from the CMS NPPES public registry.