TEGAN ALISSA MCMANAMAN
NPI 1619639408
Nurse Practitioner - Family in Sioux Falls, SD

Q: What is Tegan Mcmanaman's NPI number?

The NPI number for Tegan Mcmanaman is 1619639408. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Q: What is Tegan Mcmanaman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tegan Mcmanaman was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 08, 2021PECOS EnrolledAccepts Medicare Assignment

1325 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-2000 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2021, Oct 8, 2021 (2 updates tracked since 2021).

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About Tegan Alissa Mcmanaman NPPES

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

TEGAN ALISSA MCMANAMAN (NPI 1619639408) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP002221) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619639408

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTEGAN ALISSA MCMANAMAN

Location Address1325 S CLIFF AVESioux Falls, SD 57105-1007

Mailing Address1325 S Cliff AveSioux Falls, SD 57105-1007 · (605) 322-2000

Phone(605) 322-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 8, 2021

Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration

NPPES CertifiedNovember 22, 2021

✔ NPI 1619639408 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

Licenses✔ Licensed in SD · CP002221✔ Licensed in SD · F09211723

1325 S CLIFF AVE, Sioux Falls, SD 57105

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Accepted Insurance

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

Tegan Alissa Mcmanaman 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 ID1759772957

PECOS Enrollment IDI20211223000365

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

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

37 services36 patients

Hospital Affiliations CMS Care Compare 2

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

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

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 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.

DR. CHETAN JIWAN WASEKAR M.D.

Hospitalist

1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-7645

ERICA GEERDES PT, DPT

Physical Therapist