MADELYN RAE PONTO CNP
NPI 1629740857
Nurse Practitioner in Brookings, SD

Q: What is Madelyn Ponto's NPI number?

The NPI number for Madelyn Ponto is 1629740857. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Q: What is Madelyn Ponto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madelyn Ponto was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 05, 2021PECOS EnrolledAccepts Medicare Assignment

400 22ND AVE, BROOKINGS, SD 57006(605) 697-9500 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Madelyn Rae Ponto Cnp NPPES

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

MADELYN RAE PONTO CNP (NPI 1629740857) is an individual nurse practitioner in Brookings, South Dakota, licensed in South Dakota (CP002167) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Canby Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629740857

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMADELYN RAE PONTOCredential: CNP

Location Address400 22ND AVEBrookings, SD 57006-2450

Mailing Address400 22nd AveBrookings, SD 57006-2450 · (605) 697-9500

Phone(605) 697-9500

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 5, 2021

NPPES CertifiedOctober 5, 2021

✔ NPI 1629740857 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 · CP002167

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.

400 22ND AVE, Brookings, SD 57006

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan, Wellmark of South Dakota, Inc..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

Madelyn Rae Ponto Cnp 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 ID6002205366

PECOS Enrollment IDI20211109000277, I20240723002458

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

Medicare enrollment records show Madelyn Ponto reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan

Same address

General Practice

400 22ND AVE.
Brookings, SD 57006

Reassigned Medicare billing, South Dakota enrollment
Also billed through NPI 1295747608 (South Dakota)
1,277 clinicians in this Medicare group

NPI 1912936535 (605) 697-9500

City Of Brookings

Same address

Multi-Specialty

400 22ND AVE
Brookings, SD 57006

Reassigned Medicare billing, South Dakota enrollment
156 clinicians in this Medicare group

NPI 1134558158 (605) 697-9500

Rural Health Care, Inc

Same address

Federally Qualified Health Center (FQHC)

400 22ND AVE STE 1
Brookings, SD 57006

Reassigned Medicare billing, South Dakota enrollment
111 clinicians in this Medicare group

NPI 1386254191 (605) 697-9500

Pipestone County Medical Center

31 mi

Critical Access

916 4TH AVE SW
Pipestone, MN 56164

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1073576906 (Minnesota)
68 clinicians in this Medicare group

NPI 1598751240 (507) 825-5811

Sanford Health Network

37 mi

Critical Access

112 SAINT OLAF AVE S
Canby, MN 56220

Reassigned Medicare billing, Minnesota enrollment
34 clinicians in this Medicare group

NPI 1780781054 (507) 223-7277

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 15

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

134 services61 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

79 services73 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

69 services42 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

48 services47 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

43 services28 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

40 services37 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

37 services35 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

28 services23 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

22 services22 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

19 services19 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

19 services18 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

18 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

16 services16 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

15 services15 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241347

Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County

Emergency services

Brookings Health System

Acute Care Hospitals · Brookings, SD

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number430008

Location300 22nd AveBrookings, SD 57006 · Brookings County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57006 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.

AVERA MCKENNAN

Clinical Medical Laboratory

400 22ND AVE
BROOKINGS, SD 57006

Brookings County (605) 697-9500

NEPHI JONES DPM

Podiatrist (Foot & Ankle Surgery)

400 22ND AVE
BROOKINGS, SD 57006

Brookings County (605) 697-9500

KATIE TETZLAFF PA-C

Physician Assistant

400 22ND AVE
BROOKINGS, SD 57006

Brookings County (605) 697-9500

DR. JILL D KRUSE DO

Family Medicine

400 22ND AVE
BROOKING, SD 57006

Brookings County (605) 697-9500

MS. SANDRA M. KUTSCHER PT

Physical Therapist

400 22ND AVE
BROOKINGS, SD 57006

Brookings County (605) 697-9500

CITY OF BROOKINGS

Clinic/Center (Multi-Specialty)

400 22ND AVE
BROOKINGS, SD 57006

Brookings County (605) 697-9500

MEGAN LYNN HADLEY PA-C

Physician Assistant

400 22ND AVE
BROOKINGS, SD 57006

Brookings County (605) 697-9500

KIP A KLUDT PT

Physical Therapist

400 22ND AVE
BROOKINGS, SD 57006

Brookings County (605) 697-9500

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 Madelyn Ponto's NPI number?

The NPI number for Madelyn Ponto is 1629740857. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Madelyn Ponto located?

Madelyn Ponto practices at 400 22nd Ave, Brookings, SD 57006. The listed phone number is (605) 697-9500.

What is Madelyn Ponto's specialty?

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

Is Madelyn Ponto enrolled in Medicare?

Yes. Madelyn Ponto 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 Madelyn Ponto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madelyn Ponto reassigns Medicare benefits to 5 organizations: Avera Mckennan (Brookings, SD), City Of Brookings (Brookings, SD), Rural Health Care, Inc (Brookings, SD), Pipestone County Medical Center (Pipestone, MN) and Sanford Health Network (Canby, MN). 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 Madelyn Ponto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madelyn Ponto accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Madelyn Ponto 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 Madelyn Ponto affiliated with any hospitals?

According to CMS data, Madelyn Ponto is affiliated with Sanford Canby Medical Center and Brookings Health System.

When was this NPI record last updated?

The NPPES record for Madelyn Ponto was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.