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ASHLEY OLIVER
NPI 1619227519
Nurse Practitioner in Sioux Falls, SD

Active since September 18, 2012PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1205 S GRANGE AVE STE 104, SIOUX FALLS, SD 57105(605) 328-8500(605) 328-8501 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashley Oliver NPPES

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

ASHLEY OLIVER (NPI 1619227519) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000748) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619227519
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameASHLEY OLIVER
Location Address1205 S GRANGE AVE STE 104Sioux Falls, SD 57105-0414
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Phone(605) 328-8500
Fax(605) 328-8501
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 18, 2012
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1619227519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP000748
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1205 S GRANGE AVE STE 104, Sioux Falls, SD 57105
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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

Ashley Oliver 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 ID4880846237
PECOS Enrollment IDI20121210000496
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.

Hospital Affiliations CMS Care Compare 2

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

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

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.

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 2

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

JORGE A GILBERT M.D.
Internal Medicine (Gastroenterology)
1205 S GRANGE AVE STE 104
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
DR. BRETT DANIEL BALOUN MD
Internal Medicine (Gastroenterology)
1205 S GRANGE AVE STE 104
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500

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 Ashley Oliver's NPI number?

The NPI number for Ashley Oliver is 1619227519. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Ashley Oliver located?

Ashley Oliver practices at 1205 S Grange Ave Ste 104, Sioux Falls, SD 57105. The listed phone number is (605) 328-8500.

What is Ashley Oliver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ashley Oliver enrolled in Medicare?

Yes. Ashley Oliver 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 Ashley Oliver accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Ashley Oliver 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 Ashley Oliver affiliated with any hospitals?

According to CMS data, Ashley Oliver is affiliated with Sanford Usd Medical Center and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Oliver was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.