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KAITLIN MARIE HALVERSON FNP-C
NPI 1609470418
Nurse Practitioner - Family in Sioux Falls, SD

Active since November 23, 2020PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108(605) 328-5800 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Jun 22, 2021, Mar 31, 2021 and 1 more (4 updates tracked since 2020).

About Kaitlin Marie Halverson Fnp-c NPPES

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

KAITLIN MARIE HALVERSON FNP-C (NPI 1609470418) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001894) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609470418
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLIN MARIE HALVERSONCredential: FNP-C
Location Address6110 S MINNESOTA AVESioux Falls, SD 57108-2549
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 23, 2020
Last NPPES UpdateMarch 6, 20234 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1609470418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP001894
6110 S MINNESOTA AVE, Sioux Falls, SD 57108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Kaitlin Marie Halverson 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 ID2062821176
PECOS Enrollment IDI20210430001849
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 2

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 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.
120 services118 patients
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.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux 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
$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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

KAITLYN SARAH ISAACSON CNP
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
GLENN A. RIDDER MD
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
WALLACE L FRITZ MD
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
E. PAUL AMUNDSON MD
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
BRADLEY E. HRUBY MD
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
MRS. KATELYN MACKENZIE BEGEMAN APRN- CNP
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
RUTH WEO KITILACH CNP
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
JESSICA LYNN SPAULDING MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800

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 Kaitlin Halverson's NPI number?

The NPI number for Kaitlin Halverson is 1609470418. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Kaitlin Halverson located?

Kaitlin Halverson practices at 6110 S Minnesota Ave, Sioux Falls, SD 57108. The listed phone number is (605) 328-5800.

What is Kaitlin Halverson's specialty?

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

Is Kaitlin Halverson enrolled in Medicare?

Yes. Kaitlin Halverson 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 Kaitlin Halverson accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Kaitlin Halverson 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 Kaitlin Halverson affiliated with any hospitals?

According to CMS data, Kaitlin Halverson is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Kaitlin Halverson was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.