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KARL KENNETH OEHLKE PA
NPI 1497727929
Physician Assistant in Sioux Falls, SD

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
4400 W 69TH ST, STE 1500, SIOUX FALLS, SD 57108(605) 322-5700(605) 322-5704 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karl Kenneth Oehlke Pa NPPES

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

KARL KENNETH OEHLKE PA (NPI 1497727929) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (0542) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1497727929
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKARL KENNETH OEHLKECredential: PA
Location Address4400 W 69TH ST, STE 1500Sioux Falls, SD 57108-8170
Mailing Address2400 S Minnesota Ave, Ste 100Sioux Falls, SD 57105-3761 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-5700
Fax(605) 322-5704
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 7, 2006
Last NPPES UpdateDecember 11, 2013
✔ NPI 1497727929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 0542
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4400 W 69TH ST, Sioux Falls, SD 57108
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Other Identifiers 18

Other241098SD · Midlands Choice
Medicaid3148379IA
Other57108C027SD · Wps Tricare
Other040121002MN · Primewest
Other412991034954SD · Preferred One
Medicaid352157500MN
Medicare PINS41666SD
Other241L9OEMN · Cc Systems/ Blue Plus
Other1931128SD · Araz/ America's Ppo
OtherHP39461SD · Healthpartners
Medicare UPINQ04884SD
Other30791SD · Sanford Health Plan
Other370624200SD · Dept Of Labor
Other4995860SD · Blue Cross
Other9238091SD · Dakotacare
Medicaid46022474352NE
Medicaid12200ND
Medicaid6825460SD

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

Karl Kenneth Oehlke Pa 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 ID1951298231
PECOS Enrollment IDI20040302000331
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 3

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.
94 services34 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.
61 services25 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.
22 services14 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 57108 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMBER OLSON MD
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4005
AMANDA CHARLENE NOONAN DNP
Nurse Practitioner (Psychiatric/Mental Health)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4005
JOSHUA REIDER MD
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5737
KARA FEISTNER FNP-C
Student in an Organized Health Care Education/Training Program
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4065
TIMOTHY JAMES SOUNDY M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5700
KYLE A DUKE PA
Physician Assistant
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4405
CANDICE K CUMMINGS LCSW, ISW
Counselor (Mental Health)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5700
DR. ANNE ELIZABETH MORSTAD PHARMD
Pharmacist
4400 W 69TH ST, SUITE 1800
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5912

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 Karl Oehlke's NPI number?

The NPI number for Karl Oehlke is 1497727929. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Karl Oehlke located?

Karl Oehlke practices at 4400 W 69th St Ste 1500, Sioux Falls, SD 57108. The listed phone number is (605) 322-5700.

What is Karl Oehlke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karl Oehlke enrolled in Medicare?

Yes. Karl Oehlke 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 Karl Oehlke 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 Karl Oehlke 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 Karl Oehlke affiliated with any hospitals?

According to CMS data, Karl Oehlke is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Karl Oehlke was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.