MANDI GREENWAY M.D.
NPI 1679830905
Dermatology in Mitchell, SD
About Mandi Greenway M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDI GREENWAY M.D. (NPI 1679830905) is an individual dermatology provider in Mitchell, South Dakota, licensed in South Dakota (9935) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Huron Regional Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Mandi Greenway M.d. 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 Reassignment
Medicare enrollment records show Mandi Greenway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mitchell, SD 57301
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1992466635 (South Dakota)
- 227 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.
Huron Regional Medical Center
Critical Access Hospitals · Huron, SDAvera Queen Of Peace
Critical Access Hospitals · Mitchell, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MITCHELL, SD 57301
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 Mandi Greenway's NPI number?
The NPI number for Mandi Greenway is 1679830905. It was assigned to this individual provider in the NPPES registry on April 11, 2012. The provider is also known as Mandi Greenway Bietz M.D..
Where is Mandi Greenway located?
Mandi Greenway practices at 1900 Grassland Dr, Mitchell, SD 57301. The listed phone number is (605) 995-7000.
What is Mandi Greenway's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mandi Greenway enrolled in Medicare?
Yes. Mandi Greenway 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 organization bills Medicare for Mandi Greenway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandi Greenway reassigns Medicare benefits to Avera Queen Of Peace (Mitchell, SD). The 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 Mandi Greenway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mandi Greenway accept?
Health plans from Avera Health Plans, Oscar Insurance Company and Wellmark of South Dakota, Inc. list Mandi Greenway 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 Mandi Greenway affiliated with any hospitals?
According to CMS data, Mandi Greenway is affiliated with Huron Regional Medical Center and Avera Queen Of Peace.
When was this NPI record last updated?
The NPPES record for Mandi Greenway was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mandi Greenway, M.D. · NPI 1679830905
Dermatology physician in Mitchell, South Dakota. Individual provider, active in the CMS NPPES registry since April 11, 2012.
## Identity
- **NPI:** 1679830905 (Entity type: Individual)
- **Enumerated:** April 11, 2012
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 9935 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 GRASSLAND DR, Mitchell, SD 57301-6205
- **Phone:** (605) 995-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Avera Queen Of Peace (NPI 1124308010, Mitchell, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 2012
## Record status
- **NPPES last updated:** May 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1679830905) · Data from the CMS NPPES public registry.