MOLLY HETTINGER CNP
NPI 1861002214
Nurse Practitioner - Family in Sioux Falls, SD

Active since July 31, 2020PECOS EnrolledAccepts Medicare Assignment
1000 E 23RD ST STE 200, SIOUX FALLS, SD 57105(605) 322-3035 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2021, Jul 31, 2020 (2 updates tracked since 2020).

About Molly Hettinger Cnp NPPES

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

MOLLY HETTINGER CNP (NPI 1861002214) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001791) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861002214
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMOLLY HETTINGERCredential: CNP
Location Address1000 E 23RD ST STE 200Sioux Falls, SD 57105-2122
Mailing Address9520 W Keyrell CirSioux Falls, SD 57106-4876 · (605) 201-8895
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 31, 2020
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1861002214 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 · CP001791
1000 E 23RD ST STE 200, Sioux Falls, SD 57105

Accepted 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

Molly Hettinger 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 ID8921427337
PECOS Enrollment IDI20201005002418
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 8

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.

Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
63 services32 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.
42 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services22 patients
Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month 99425
Principal care management services involve managing a single high-risk disease. A qualified healthcare professional provides this service, dedicating additional 30 minutes each month to monitor and manage your condition. It's a continuous effort to ensure optimal health for you.
35 services24 patients
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.
32 services30 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
28 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock 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

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

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431335
Location172 Fourth Street SEHuron, SD 57350 · Beadle County
Emergency services

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 5

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

Nurse Practitioner (Family)
1000 E 23RD ST STE 200
SIOUX FALLS, SD 57105
Internal Medicine (Hematology & Oncology)
1000 E 23RD ST STE 200
SIOUX FALLS, SD 57105
Internal Medicine (Hematology)
1000 E 23RD ST STE 200
SIOUX FALLS, SD 57105
Nurse Practitioner
1000 E 23RD ST STE 200
SIOUX FALLS, SD 57105
Internal Medicine (Hematology & Oncology)
1000 E 23RD ST STE 200
SIOUX FALLS, SD 57105

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 Molly Hettinger's NPI number?

The NPI number for Molly Hettinger is 1861002214. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Molly Hettinger located?

Molly Hettinger practices at 1000 E 23rd St Ste 200, Sioux Falls, SD 57105. The listed phone number is (605) 322-3035.

What is Molly Hettinger's specialty?

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

Is Molly Hettinger enrolled in Medicare?

Yes. Molly Hettinger 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 Molly Hettinger accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Molly Hettinger 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 Molly Hettinger affiliated with any hospitals?

According to CMS data, Molly Hettinger is affiliated with Sanford Luverne Medical Center, Pipestone County Medical Center, Avera Mckennan Hospital & University Health Center, Sanford Usd Medical Center and Huron Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Molly Hettinger was last updated on February 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.