BETSY M VAN GENDEREN CNP
NPI 1780865626
Nurse Practitioner - Family in Mitchell, SD

Q: What is Betsy Van Genderen's NPI number?

The NPI number for Betsy Van Genderen is 1780865626. It was assigned to this individual provider in the NPPES registry on November 20, 2007. The provider is also known as Betsy M Weismantel Cnp.

Q: What is Betsy Van Genderen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 20, 2007PECOS EnrolledAccepts Medicare Assignment

2100 HIGHLAND WAY STE K, MITCHELL, SD 57301(605) 996-0440(605) 996-0401 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Betsy M Van Genderen Cnp NPPES

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

BETSY M VAN GENDEREN CNP (NPI 1780865626) is an individual family provider in Mitchell, South Dakota, licensed in South Dakota (CP000508) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Avera Queen Of Peace, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1780865626

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBETSY M VAN GENDERENCredential: CNP

Location Address2100 HIGHLAND WAY STE KMitchell, SD 57301-6409

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512

Phone(605) 996-0440

Fax(605) 996-0401

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 20, 2007

Last NPPES UpdateApril 22, 2014

✔ NPI 1780865626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SD · CP000508

2100 HIGHLAND WAY STE K, Mitchell, SD 57301

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Other Names 1

Former Name (1)Betsy M Weismantel Cnp

Other Identifiers 11

Other1780865626Araz/america's Ppo

Other57105N005SD · Wps Tricare

Other9255156Dakotacare

Other254961SD · Midlands Choice

Other75L18VACc Systems/blue Plus

Other4992440SD · Blue Cross

Medicaid1134191869IA

Medicaid6829990SD

OtherC70501053906Preferred One

Medicaid854618200MN

Medicare PINS102199SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Betsy M Van Genderen 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 ID4486735917

PECOS Enrollment IDI20080122000694

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

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

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431340

Location525 N FosterMitchell, SD 57301 · Davison County

Emergency services Birthing friendly

Physician 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.

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENNY SUE VIRCHOW

Counselor (Mental Health)