1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Nurse Practitioner
  6. NPI Profile

NICOLE ANN MAZOUREK
NPI 1568353225
Nurse Practitioner - Gerontology in Sioux Falls, SD

Active since July 11, 2025PECOS Enrolled
1305 W 18TH ST, SIOUX FALLS, SD 57105(605) 312-5350(605) 312-8928 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Ann Mazourek NPPES

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

NICOLE ANN MAZOUREK (NPI 1568353225) is an individual gerontology provider in Sioux Falls, South Dakota, licensed in South Dakota (CP003569) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1568353225
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE ANN MAZOUREK
Location Address1305 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 312-5350
Phone(605) 312-5350
Fax(605) 312-8928
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 11, 2025
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1568353225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in SD · CP003569
1305 W 18TH ST, Sioux Falls, SD 57105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ann Mazourek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810488673
PECOS Enrollment IDI20251119002071
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Mazourek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Anatomic Pathology & Clinical Pathology
1305 W 18TH ST
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1043583537 (605) 333-1720
Sanford Medical Center
0.7 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

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 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.

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.

JEDD D BIALAS CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
AARON DANIEL MORTENSEN CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
DR. JULIANA JOHNSON FERRI GUERRA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8700
PAUL E GILMORE CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
BETH ABRAHAMSON
Nurse Practitioner (Neonatal)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-3006
RYAN LAWRENCE TENNANT CNP
Nurse Practitioner
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
LCM PATHOLOGISTS PC
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (800) 284-9806
ARLEIGH TRAINOR MD
Emergency Medicine
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000

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 Nicole Mazourek's NPI number?

The NPI number for Nicole Mazourek is 1568353225. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Nicole Mazourek located?

Nicole Mazourek practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 312-5350.

What is Nicole Mazourek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Mazourek enrolled in Medicare?

Yes. Nicole Mazourek is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Mazourek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mazourek reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, 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 Nicole Mazourek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Mazourek accept?

Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Nicole Mazourek 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 Nicole Mazourek was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.