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BLAKE TIMOTHY KADINGER FNP-C
NPI 1578082335
Nurse Practitioner - Family in Sioux Falls, SD

Active since September 13, 2017PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2024, Sep 27, 2022, Apr 18, 2022 and 3 more (6 updates tracked since 2017).

About Blake Timothy Kadinger Fnp-c NPPES

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

BLAKE TIMOTHY KADINGER FNP-C (NPI 1578082335) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001267) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Osceola Community Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578082335
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBLAKE TIMOTHY KADINGERCredential: FNP-C
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 632-8065
Phone(605) 977-5000
Fax(605) 977-5377
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 13, 2017
Last NPPES UpdateOctober 3, 20246 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1578082335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP001267
Also ListedNurse PractitionerTaxonomy 363L00000X · License CP001267 (SD)
4520 W 69TH ST, Sioux Falls, SD 57108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Blake Timothy Kadinger Fnp-c 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 ID3870851850
PECOS Enrollment IDI20230519002550, I20250415000656
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 Blake Kadinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Hospital Of South Dakota LLC
Same address
Cardiovascular Disease
4520 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, Iowa, Minnesota and South Dakota enrollments
  • 34 clinicians in this Medicare group
NPI 1407109705 (605) 977-5000
Sanford Health Network
133 mi
Critical Access
1401 W 1ST ST
Webster, SD 57274
  • Reassigned Medicare billing, South Dakota enrollment
  • 18 clinicians in this Medicare group
NPI 1831103449 (605) 345-3336

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 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.
49 services49 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
18 services18 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osceola Community Hospital

Critical Access Hospitals · Sibley, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161345
Location600 9th Avenue NorthSibley, IA 51249 · Osceola County
Emergency services

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

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

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431335
Location172 Fourth Street SEHuron, SD 57350 · Beadle County
Emergency services

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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

KELLY J STEFFEN DO
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
BRIAN KEITH DUXBURY DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. ANURAG BAJAJ M.D.
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
MARY ANN MARIE SHERMAN PAC
Physician Assistant
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
STEPHANIE PREISTER
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. PAUL E MEYER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
HOLLI MARIE BAAN HOFMAN CNP
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. MARK D FAUSCH MD
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000

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 Blake Kadinger's NPI number?

The NPI number for Blake Kadinger is 1578082335. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Blake Kadinger located?

Blake Kadinger practices at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.

What is Blake Kadinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blake Kadinger enrolled in Medicare?

Yes. Blake Kadinger 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 Blake Kadinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Kadinger reassigns Medicare benefits to 2 organizations: Heart Hospital Of South Dakota LLC (Sioux Falls, SD) and Sanford Health Network (Webster, 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 Blake Kadinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Kadinger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Blake Kadinger 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 Blake Kadinger affiliated with any hospitals?

According to CMS data, Blake Kadinger is affiliated with Osceola Community Hospital, Orange City Area Health System, Avera Mckennan Hospital & University Health Center, Avera Heart Hospital Of South Dakota and Huron Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Kadinger was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.