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CAROL ANN SCHAUNAMAN CNP
NPI 1659080059
Nurse Practitioner in Redfield, SD

Active since November 15, 2022PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
111 W 10TH AVE # 111, REDFIELD, SD 57469(605) 472-1110 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Nov 15, 2022 (2 updates tracked since 2022).

About Carol Ann Schaunaman Cnp NPPES

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

CAROL ANN SCHAUNAMAN CNP (NPI 1659080059) is an individual nurse practitioner in Redfield, South Dakota, licensed in South Dakota (CP002578) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659080059
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROL ANN SCHAUNAMANCredential: CNP
Location Address111 W 10TH AVE # 111Redfield, SD 57469-1519
Mailing Address111 W 10th Ave # 111Redfield, SD 57469-1519 · (605) 472-1110 · Fax (605) 472-0512
Phone(605) 472-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 15, 2022
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1659080059 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 · CP002578
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.
111 W 10TH AVE # 111, Redfield, SD 57469
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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

Carol Ann Schaunaman 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 ID6800265539
PECOS Enrollment IDI20230110002195
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.

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

Community Memorial Hospital

Critical Access Hospitals · Redfield, SD
OwnershipGovernment - Local
CMS Certification Number431316
Location111 W 10th Ave Post Office Box 420Redfield, SD 57469 · Spink County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57469 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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

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 Carol Schaunaman's NPI number?

The NPI number for Carol Schaunaman is 1659080059. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Carol Schaunaman located?

Carol Schaunaman practices at 111 W 10th Ave # 111, Redfield, SD 57469. The listed phone number is (605) 472-1110.

What is Carol Schaunaman's specialty?

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

Is Carol Schaunaman enrolled in Medicare?

Yes. Carol Schaunaman 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 Carol Schaunaman accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Carol Schaunaman 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 Carol Schaunaman affiliated with any hospitals?

According to CMS data, Carol Schaunaman is affiliated with Avera St Lukes and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carol Schaunaman was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.