MRS. KRYSTA L PRIOR APRN, CNP
NPI 1538993654
Nurse Practitioner - Psychiatric/Mental Health in Sioux Falls, SD
About Mrs. Krysta L Prior Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRYSTA L PRIOR APRN, CNP (NPI 1538993654) is an individual psychiatric/mental health provider in Sioux Falls, South Dakota, licensed in South Dakota (CP003309) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Krysta L Prior Aprn, 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
5Medicare enrollment records show Krysta Prior reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lonsdale, MN 55046
- Reassigned Medicare billing, Minnesota enrollment
- 249 clinicians in this Medicare group
Minnetonka, MN 55345
- Reassigned Medicare billing, Minnesota enrollment
- 540 clinicians in this Medicare group
Rochester, MN 55904
- Reassigned Medicare billing, Minnesota enrollment
- 379 clinicians in this Medicare group
Winona, MN 55987
- Reassigned Medicare billing, Minnesota enrollment
- 330 clinicians in this Medicare group
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota and South Dakota enrollments
- 779 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57104 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 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
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 Krysta Prior's NPI number?
The NPI number for Krysta Prior is 1538993654. It was assigned to this individual provider in the NPPES registry on August 30, 2024.
Where is Krysta Prior located?
Krysta Prior practices at 4500 N Lewis Ave, Sioux Falls, SD 57104. The listed phone number is (605) 606-0626.
What is Krysta Prior's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Krysta Prior enrolled in Medicare?
Yes. Krysta Prior 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 Krysta Prior's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krysta Prior reassigns Medicare benefits to 5 organizations: Northfield Hospital (Lonsdale, MN), North Memorial Health Care (Minnetonka, MN), Olmsted Medical Center (Rochester, MN), Winona Health Services (Winona, MN) and Sanford Bismarck (Bismarck, ND). 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 Krysta Prior's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krysta Prior accept?
Health plans from Blue Cross Blue Shield of North Dakota, Medica, Mountain Health CO-OP, Quartz and Sanford Health Plan and 1 other insurer list Krysta Prior 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 Krysta Prior was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Mrs. Krysta L Prior, APRN, CNP · NPI 1538993654
Psychiatric/Mental Health physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since August 30, 2024.
## Identity
- **NPI:** 1538993654 (Entity type: Individual)
- **Enumerated:** August 30, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CP003309 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 N LEWIS AVE, Sioux Falls, SD 57104-7111
- **Phone:** (605) 606-0626
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Northfield Hospital (NPI 1538196035, Lonsdale, MN); North Memorial Health Care (NPI 1952732729, Minnetonka, MN); Olmsted Medical Center (NPI 1952356297, Rochester, MN); Winona Health Services (NPI 1295789352, Winona, MN); Sanford Bismarck (NPI 1811941172, Bismarck, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538993654) · Data from the CMS NPPES public registry.