JANELL L SIMPKINS MD
NPI 1619989605
Internal Medicine in Sioux Falls, SD

Active since August 11, 2006PECOS Enrolled
4500 N LEWIS AVE, SIOUX FALLS, SD 57104(605) 322-5313 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Janell L Simpkins Md NPPES

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

JANELL L SIMPKINS MD (NPI 1619989605) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (3812) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1619989605
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJANELL L SIMPKINSCredential: MD
Location Address4500 N LEWIS AVESioux Falls, SD 57104
Mailing Address4500 N Lewis AveSioux Falls, SD 57104-7111 · (605) 322-5313
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateOctober 17, 2019
✔ NPI 1619989605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SD · 3812
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 3812 (SD)
4500 N LEWIS AVE, Sioux Falls, SD 57104

Secondary Practice Location 1

Location 15019 S Western Ave Ste 200Sioux Falls, SD 57108-5155 · Phone (605) 328-9700

Other Identifiers 1

Medicaid6630540SD

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janell L Simpkins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

8

Medicare enrollment records show Janell Simpkins reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
300 N DAKOTA AVE., STE. 117
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
225 BLUFF ST
Winnebago, NE 68071
  • Reassigned Medicare billing, Texas enrollment
  • 90 clinicians in this Medicare group
Clinic/Center
601 GALL STREET
Lower Brule, SD 57548
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Public Health or Welfare
24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625
  • Reassigned Medicare billing, Texas enrollment
  • 282 clinicians in this Medicare group
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Florida enrollment
  • 147 clinicians in this Medicare group

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 57104 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Nurse Practitioner
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Nurse Practitioner (Psychiatric/Mental Health)
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Social Worker
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Registered Nurse
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Specialist
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Physician Assistant
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Nurse Practitioner (Psychiatric/Mental Health)
4500 N LEWIS AVE
SIOUX FALLS, SD 57104

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 Janell Simpkins's NPI number?

The NPI number for Janell Simpkins is 1619989605. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Janell Simpkins located?

Janell Simpkins practices at 4500 N Lewis Ave, Sioux Falls, SD 57104. The listed phone number is (605) 322-5313.

What is Janell Simpkins's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Janell Simpkins enrolled in Medicare?

Yes. Janell Simpkins is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Janell Simpkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janell Simpkins reassigns Medicare benefits to 8 organizations: Avera Mckennan (Sioux Falls, SD), Winnebago Tribe Of Nebraska (Winnebago, NE), Lower Brule Health Center Ihs (Lower Brule, SD), Rosebud Indian Health Service (Rosebud, SD), Eagle Butte Indian Health Service Hospital (Eagle Butte, SD) and 3 more organizations, listed in the Medicare section above. 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 Janell Simpkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janell Simpkins accept?

Health plans from Blue Cross Blue Shield of North Dakota, Oscar Insurance Company and Wellmark of South Dakota, Inc. list Janell Simpkins 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 Janell Simpkins was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.