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JOANN KAPLAN M.D.
NPI 1730141292
Pediatrics in Sisseton, SD

Active since April 03, 2006PECOS Enrolled
100 LAKE TRAVERSE DR, SISSETON, SD 57262(605) 698-7606 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, Jul 14, 2022 (2 updates tracked since 2022).

About Joann Kaplan M.d. NPPES

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

JOANN KAPLAN M.D. (NPI 1730141292) is an individual pediatrics provider in Sisseton, South Dakota, licensed in Maine (014977) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730141292
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJOANN KAPLANCredential: M.D.
Location Address100 LAKE TRAVERSE DRSisseton, SD 57262-7046
Mailing AddressPo Box 22Sisseton, SD 57262-0022 · (207) 350-6526
Phone(605) 698-7606
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1730141292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · 014977
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 LAKE TRAVERSE DR, Sisseton, SD 57262
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Other Identifiers 2

Medicaid0095656NJ
Medicaid305620099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joann Kaplan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Joann Kaplan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Woodrow Wilson Keeble Memorial Health Care Center
Same address
Clinic/Center
100 LAKE TRAVERSE DRIVE
Sisseton, SD 57262
  • Reassigned Medicare billing, Texas enrollment
  • 50 clinicians in this Medicare group
NPI 1366471666 (605) 698-7606
Down East Community Hospital
1,436 mi
Critical Access
11 HOSPITAL DRIVE
Machias, ME 04654
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1689670242 (Maine)
  • 83 clinicians in this Medicare group
NPI 1528087004 (207) 255-3356
Calais Community Hospital
1,439 mi
Medicare Defined Swing Bed Unit
24 HOSPITAL LN
Calais, ME 04619
  • Reassigned Medicare billing, Maine enrollment
  • 94 clinicians in this Medicare group
NPI 1376546143 (207) 454-7521

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57262 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.

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.

FAITH ANN PHILLIPS DNP, RNP, FNP-BC
Nurse Practitioner (Family)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
LIBERTY ANN DERBY GOODSELL LPN
Licensed Practical Nurse
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
MRS. DOROTHY JEANNE NELSON R.N.
Registered Nurse (Ambulatory Care)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
DON KEVIN FISCHER LPN
Licensed Practical Nurse
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
MISS KELLI KAY HORTON ANDERSON PT, ATC
Physical Therapist
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
MR. BRIAN E LABELLE MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 742-3710
DR. PETER THOMAS STEINKEN PHARM D.
Pharmacist
100 LAKE TRAVERSE DR, WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER
SISSETON, SD 57262
Roberts County (605) 698-7606
MS. CARMEN MARIA REDLIN CNP
Nurse Practitioner
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606

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 Joann Kaplan's NPI number?

The NPI number for Joann Kaplan is 1730141292. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Joann Kaplan located?

Joann Kaplan practices at 100 Lake Traverse Dr, Sisseton, SD 57262. The listed phone number is (605) 698-7606.

What is Joann Kaplan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Joann Kaplan enrolled in Medicare?

Yes. Joann Kaplan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joann Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joann Kaplan reassigns Medicare benefits to 3 organizations: Woodrow Wilson Keeble Memorial Health Care Center (Sisseton, SD), Down East Community Hospital (Machias, ME) and Calais Community Hospital (Calais, ME). 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 Joann Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joann Kaplan accept?

Health plans from Anthem Blue Cross and Blue Shield list Joann Kaplan 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.

When was this NPI record last updated?

The NPPES record for Joann Kaplan was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.