DANETTE RAE BAUMANN P.A.
NPI 1699915819
Physician Assistant in Sioux Falls, SD

Active since February 27, 2009PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108(605) 332-2883(605) 312-9032 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Danette Rae Baumann P.a. NPPES

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

DANETTE RAE BAUMANN P.A. (NPI 1699915819) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (0835) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1699915819
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANETTE RAE BAUMANNCredential: P.A.
Location Address6110 S MINNESOTA AVESioux Falls, SD 57108-2549
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(605) 312-9032
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 27, 2009
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
NPI 1699915819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in SD · 0835 Licensed in MN · 10669 Licensed in SD · 0712
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6110 S MINNESOTA AVE, Sioux Falls, SD 57108

Other Identifiers 1

Medicaid6831820SD

Accepted 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

Danette Rae Baumann P.a. 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 ID2961569819
PECOS Enrollment IDI20090320000538
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services47 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Nurse Practitioner (Psychiatric/Mental Health)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108

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 Danette Baumann's NPI number?

The NPI number for Danette Baumann is 1699915819. It was assigned to this individual provider in the NPPES registry on February 27, 2009.

Where is Danette Baumann located?

Danette Baumann practices at 6110 S Minnesota Ave, Sioux Falls, SD 57108. The listed phone number is (605) 332-2883.

What is Danette Baumann's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danette Baumann enrolled in Medicare?

Yes. Danette Baumann 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 Danette Baumann accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Danette Baumann 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 Danette Baumann affiliated with any hospitals?

According to CMS data, Danette Baumann is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Danette Baumann was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.