CAROL ANN SCHAUNAMAN CNP
NPI 1659080059
Nurse Practitioner in Redfield, SD
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carol Schaunaman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Redfield, SD 57469
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1548232747 (South Dakota)
- 20 clinicians in this Medicare group
Aberdeen, SD 57401
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Avera St Lukes
- 259 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.
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, SDCommunity Memorial Hospital
Critical Access Hospitals · Redfield, SDPhysician 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.
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.
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.
Which organizations bill Medicare for Carol Schaunaman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Schaunaman reassigns Medicare benefits to 2 organizations: City Of Redfield (Redfield, SD) and Avera St. Luke's (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 Carol Schaunaman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Schaunaman accept?
Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. 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 September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.