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WYLIE LEROY BARNES ACNP
NPI 1649744822
Nurse Practitioner in Aberdeen, SD

Active since January 22, 2019PECOS EnrolledAccepts Medicare Assignment
1118 S PENN ST, ABERDEEN, SD 57401(605) 290-7951 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2026, Jan 22, 2019 (2 updates tracked since 2019).

About Wylie Leroy Barnes Acnp NPPES

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

WYLIE LEROY BARNES ACNP (NPI 1649744822) is an individual nurse practitioner in Aberdeen, South Dakota, licensed in South Dakota (CP001509) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1649744822
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameWYLIE LEROY BARNESCredential: ACNP
Location Address1118 S PENN STAberdeen, SD 57401-7232
Mailing Address1118 S Penn StAberdeen, SD 57401-7232 · (605) 290-7951
Phone(605) 290-7951
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 22, 2019
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1649744822 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 · CP001509
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.
1118 S PENN ST, Aberdeen, SD 57401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Sanford Health Plan and more.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

Wylie Leroy Barnes Acnp 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 ID1557693215
PECOS Enrollment IDI20191029003077
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

2

Medicare enrollment records show Wylie Barnes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera St. Luke's
0.4 mi
Medical
615 6TH AVE SE
Aberdeen, SD 57401
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Lukes
  • 259 clinicians in this Medicare group
NPI 1174815088 (605) 622-2857
Sanford Health Network
1.6 mi
General Acute Care Hospital
2905 3RD AVE SE
Aberdeen, SD 57401
  • Reassigned Medicare billing, South Dakota enrollment
  • 422 clinicians in this Medicare group
NPI 1235406455 (605) 226-5500

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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
16 services16 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 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.

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 Wylie Barnes's NPI number?

The NPI number for Wylie Barnes is 1649744822. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Wylie Barnes located?

Wylie Barnes practices at 1118 S Penn St, Aberdeen, SD 57401. The listed phone number is (605) 290-7951.

What is Wylie Barnes's specialty?

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

Is Wylie Barnes enrolled in Medicare?

Yes. Wylie Barnes 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 Wylie Barnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wylie Barnes reassigns Medicare benefits to 2 organizations: Avera St. Luke's (Aberdeen, SD) and Sanford Health Network (Aberdeen, SD). 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 Wylie Barnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wylie Barnes accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Security Health Plan and Wellmark of South Dakota, Inc. list Wylie Barnes 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 Wylie Barnes affiliated with any hospitals?

According to CMS data, Wylie Barnes is affiliated with Avera St Lukes and Sanford Medical Center Aberdeen.

When was this NPI record last updated?

The NPPES record for Wylie Barnes was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.