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THERESA ANN MEHRMAN CNP
NPI 1790018935
Nurse Practitioner in Sioux Falls, SD

Active since September 04, 2009PECOS EnrolledAccepts Medicare Assignment
3720 W 69TH ST, SIOUX FALLS, SD 57108(605) 322-5290(605) 322-5252 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Ann Mehrman Cnp NPPES

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

THERESA ANN MEHRMAN CNP (NPI 1790018935) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000564) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Osceola Community Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790018935
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA ANN MEHRMANCredential: CNP
Location Address3720 W 69TH STSioux Falls, SD 57108-8192
Mailing Address3720 W 69th StSioux Falls, SD 57108-8192 · (605) 322-5290 · Fax (605) 322-5252
Phone(605) 322-5290
Fax(605) 322-5252
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 4, 2009
Last NPPES UpdateMay 15, 2014
✔ NPI 1790018935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP000564
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3720 W 69TH ST, Sioux Falls, SD 57108
Open in Google Maps ↗

Other Identifiers 15

Other1790018935SD · Dakotacare
Medicare PINS103631SD
Medicare PIN1790018935MN
Other1235196056Group Npi
Medicare NSC1235196056
Other460484580Group Tax Id
Medicaid6828312SD
Medicare PINC03435MN
Medicare PIN1790018935
Other460484580SD · Wellmark Of Sd And Ia
Other1790018935MN · Bcbs Of Mn
Medicaid1790018935IA
Medicaid6832603SD
Medicare PINS106108SD
Medicaid1790018935SD

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

Theresa Ann Mehrman 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 ID9234276668
PECOS Enrollment IDI20091016000416
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 4

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.
194 services80 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.
112 services97 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.
20 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Osceola Community Hospital

Critical Access Hospitals · Sibley, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161345
Location600 9th Avenue NorthSibley, IA 51249 · Osceola County
Emergency services

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN
OwnershipGovernment - Local
CMS Certification Number241374
Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County
Emergency services

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

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
$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
6 suppliers18 claims36 services$31.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

AVERA MCKENNAN
Internal Medicine (Hematology & Oncology)
3720 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 339-4464
MCHALE INSTITUTE, P.C.
Internal Medicine (Hematology & Oncology)
3720 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 339-4464
AVERA MCKENNAN
Clinical Medical Laboratory
3720 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-3050

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 Theresa Mehrman's NPI number?

The NPI number for Theresa Mehrman is 1790018935. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Where is Theresa Mehrman located?

Theresa Mehrman practices at 3720 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 322-5290.

What is Theresa Mehrman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresa Mehrman enrolled in Medicare?

Yes. Theresa Mehrman 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 Theresa Mehrman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Theresa Mehrman 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 Theresa Mehrman affiliated with any hospitals?

According to CMS data, Theresa Mehrman is affiliated with Osceola Community Hospital, Pipestone County Medical Center, Prairie Lakes Healthcare System, Inc, Avera Mckennan Hospital & University Health Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Mehrman was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.