MADELINE MARIE FOSS PA-C
NPI 1851171680
Physician Assistant in Sioux Falls, SD

Q: What is Madeline Foss's NPI number?

The NPI number for Madeline Foss is 1851171680. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Q: What is Madeline Foss's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Madeline Foss was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 29, 2023PECOS 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: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Dec 11, 2023 (2 updates tracked since 2023).

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About Madeline Marie Foss Pa-c NPPES

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

MADELINE MARIE FOSS PA-C (NPI 1851171680) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (1478) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1851171680

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADELINE MARIE FOSSCredential: PA-C

Location Address4520 W 69TH STSioux Falls, SD 57108-8148

Mailing Address1500 W 22nd St Ste 401Sioux Falls, SD 57105-1503 · (605) 328-4601

Phone(605) 977-5000

Fax(605) 977-5377

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 29, 2023

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1851171680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SD · 1478

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4520 W 69TH ST, Sioux Falls, SD 57108

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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

Madeline Marie Foss Pa-c 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 ID1153771340

PECOS Enrollment IDI20240101000119

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 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 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

Milbank Area Hospital/Avera Health

Critical Access Hospitals · Milbank, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431326

Location301 Flynn DriveMilbank, SD 57252 · Grant County

Emergency services

Avera St Benedict Health Center - Cah

Critical Access Hospitals · Parkston, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431330

Location401 West Glynn DriveParkston, SD 57366 · Hutchinson County

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

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

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)