DR. DUSTIN BROOKS TANNER PSYD
NPI 1497995088
Psychologist - Clinical in Mitchell, SD

Active since February 23, 2009PECOS EnrolledAccepts Medicare Assignment
910 W HAVENS AVE, MITCHELL, SD 57301(605) 996-9686(605) 996-1624 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dustin Brooks Tanner Psyd NPPES

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

DR. DUSTIN BROOKS TANNER PSYD (NPI 1497995088) is an individual clinical provider in Mitchell, South Dakota, licensed in Idaho (PSY-202804) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1497995088
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DUSTIN BROOKS TANNERCredential: PSYD
Location Address910 W HAVENS AVEMitchell, SD 57301-3831
Mailing Address2070 Northern Sky DrTwin Falls, ID 83301-3900
Fax(605) 996-1624
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 23, 2009
Last NPPES UpdateAugust 5, 2015
NPI 1497995088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in ID · PSY-202804
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
910 W HAVENS AVE, Mitchell, SD 57301

Other Identifiers 1

Medicaid5200110SD

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

Dr. Dustin Brooks Tanner Psyd 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 ID4385780451
PECOS Enrollment IDI20140805000217
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57301 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 11

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

Social Worker
910 W HAVENS AVE
MITCHELL, SD 57301
Counselor (Mental Health)
910 W HAVENS AVE
MITCHELL, SD 57301
Counselor (Mental Health)
910 W HAVENS AVE
MITCHELL, SD 57301
Counselor (Mental Health)
910 W HAVENS AVE
MITCHELL, SD 57301
Counselor (Mental Health)
910 W HAVENS AVE
MITCHELL, SD 57301
Counselor (Mental Health)
910 W HAVENS AVE
MITCHELL, SD 57301
Psychologist (Clinical)
910 W HAVENS AVE
MITCHELL, SD 57301
Counselor (Mental Health)
910 W HAVENS AVE
MITCHELL, SD 57301

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 Dustin Tanner's NPI number?

The NPI number for Dustin Tanner is 1497995088. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Where is Dustin Tanner located?

Dustin Tanner practices at 910 W Havens Ave, Mitchell, SD 57301. The listed phone number is (605) 996-9686.

What is Dustin Tanner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dustin Tanner enrolled in Medicare?

Yes. Dustin Tanner 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 Dustin Tanner accept?

Health plans from Moda Health Plan, Inc. list Dustin Tanner 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.

When was this NPI record last updated?

The NPPES record for Dustin Tanner was last updated on August 5, 2015. 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.