NICOLE L STETHEM MD
NPI 1841204286
Emergency Medicine in Sioux Falls, SD

Q: What is Nicole Stethem's NPI number?

The NPI number for Nicole Stethem is 1841204286. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Q: What is Nicole Stethem's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Stethem was last updated on April 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 29, 2006PECOS Enrolled

1325 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-2000(605) 322-2036 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicole L Stethem Md NPPES

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

NICOLE L STETHEM MD (NPI 1841204286) is an individual emergency medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (5671) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841204286

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameNICOLE L STETHEMCredential: MD

Location Address1325 S CLIFF AVESioux Falls, SD 57105-1007

Mailing AddressPo Box 5045, Plaza 2 P.f.s.Sioux Falls, SD 57117-5045 · (605) 322-2000 · Fax (605) 322-2036

Phone(605) 322-2000

Fax(605) 322-2036

Sole ProprietorNo

Enumeration DateJuly 29, 2006

Last NPPES UpdateApril 19, 2013

✔ NPI 1841204286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SD · 5671

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1325 S CLIFF AVE, Sioux Falls, SD 57105

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Other Identifiers 10

Medicaid6631210SD

Medicare PINS100474SD

Other254P5STMN · Mn Bc Provider #

Medicaid0597831IA

Other0100474SD · Blue Cross Of Sd

Medicare UPINI38797SD

Medicaid156124300MN

Medicare PINP00291157SD

Other5671Dakotacare

Medicaid46022474331NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole L Stethem Md 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

Medicare enrollment records show Nicole Stethem reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan

Same address

Diagnostic Radiology

1325 S CLIFF AVE
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
1,277 clinicians in this Medicare group

NPI 1053680678 (605) 322-1600

Sacred Heart Health Services

56 mi

Physical Therapist

2525 FOX RUN PKWY STE 100
Yankton, SD 57078

Reassigned Medicare billing, South Dakota enrollment
227 clinicians in this Medicare group

NPI 1053838508 (605) 260-0918

Eagle Butte Indian Health Service Hospital

246 mi

Public Health or Welfare

24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625

Reassigned Medicare billing, Texas enrollment
282 clinicians in this Medicare group

NPI 1558395848 (605) 964-7724

Pine Ridge Indian Health Service Hospital

254 mi

Clinic/Center

119 SOUTH 1ST AVENUE
Martin, SD 57551

Reassigned Medicare billing, Texas enrollment
426 clinicians in this Medicare group

NPI 1003208257 (605) 685-2800

Fort Yates Indian Health Service Hospital

268 mi

Critical Access

10 NORTH RIVER ROAD
Fort Yates, ND 58538

Reassigned Medicare billing, Texas enrollment
71 clinicians in this Medicare group

NPI 1609851039 (701) 854-3831

Quentin N Burdick Comprehensive Health Care Facility

394 mi

Rural

1300 HOSPITAL LOOP
Belcourt, ND 58316

Reassigned Medicare billing, Texas enrollment
193 clinicians in this Medicare group

NPI 1952346934 (701) 477-6111

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

182 services179 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

105 services104 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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.

DR. CHETAN JIWAN WASEKAR M.D.

Hospitalist

1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-7645

ERICA GEERDES PT, DPT

Physical Therapist