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KELLY J WASKO CNP
NPI 1841252541
Nurse Practitioner in Sioux Falls, SD

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly J Wasko Cnp NPPES

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

KELLY J WASKO CNP (NPI 1841252541) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000463) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1841252541
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY J WASKOCredential: CNP
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing Address4520 W 69th StSioux Falls, SD 57108-8148 · (605) 977-5000 · Fax (605) 977-5377
Phone(605) 977-5000
Fax(605) 977-5377
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 6, 2006
Last NPPES UpdateAugust 15, 2012
✔ NPI 1841252541 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 · CP000463
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.
4520 W 69TH ST, Sioux Falls, SD 57108
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Other Identifiers 10

Other4994141SD · Sd Bcbs
Other182837Ucare
Medicare PINP00304857GA
Medicare UPINQ65304SD
Medicaid6828360SD
Other01-23603Medica Selectcare
Other60832Health Partner
Other931451047306Preferred One
Medicaid975839900MN
Medicare PINS100915SD

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly J Wasko 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 ID9436166865
PECOS Enrollment IDI20060309000636
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

2

Medicare enrollment records show Kelly Wasko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Hospital Of South Dakota LLC
Same address
Cardiovascular Disease
4520 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1023003969 (South Dakota)
  • 61 clinicians in this Medicare group
NPI 1407109705 (605) 977-5000
Avera Mckennan
0.1 mi
Emergency Medicine
4500 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1013350891 (605) 322-9777

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 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.
705 services646 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.
31 services31 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.
31 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes 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

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Madison Regional Health System

Critical Access Hospitals · Madison, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431300
Location323 SW 10th StMadison, SD 57042 · Lake County
Emergency services

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.

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.

KELLY J STEFFEN DO
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
BRIAN KEITH DUXBURY DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. ANURAG BAJAJ M.D.
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
MARY ANN MARIE SHERMAN PAC
Physician Assistant
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
STEPHANIE PREISTER
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. PAUL E MEYER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
HOLLI MARIE BAAN HOFMAN CNP
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. MARK D FAUSCH MD
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000

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 Kelly Wasko's NPI number?

The NPI number for Kelly Wasko is 1841252541. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Kelly Wasko located?

Kelly Wasko practices at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.

What is Kelly Wasko's specialty?

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

Is Kelly Wasko enrolled in Medicare?

Yes. Kelly Wasko 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.

Which organizations bill Medicare for Kelly Wasko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wasko reassigns Medicare benefits to 2 organizations: Heart Hospital Of South Dakota LLC (Sioux Falls, SD) and Avera Mckennan (Sioux Falls, SD). 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 Kelly Wasko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Wasko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield and Avera Health Plans and 2 other insurers list Kelly Wasko 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 Kelly Wasko affiliated with any hospitals?

According to CMS data, Kelly Wasko is affiliated with Lakes Regional Healthcare, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center, Avera Heart Hospital Of South Dakota and Madison Regional Health System.

When was this NPI record last updated?

The NPPES record for Kelly Wasko was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.