NICHOLAS MICHAEL PURCELL MD
NPI 1861057598
Psychiatry & Neurology - Neurology in Sioux Falls, SD
About Nicholas Michael Purcell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS MICHAEL PURCELL MD (NPI 1861057598) is an individual neurology provider in Sioux Falls, South Dakota, licensed in South Dakota (00016642) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Nicholas Michael Purcell Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Purcell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 clinicians in this Medicare group
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
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.
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, IAAvera Marshall Regional Medical Ctr
Critical Access Hospitals · Marshall, MNPipestone County Medical Center
Critical Access Hospitals · Pipestone, MNAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDMadison Regional Health System
Critical Access Hospitals · Madison, SDPhysician 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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIOUX FALLS, SD 57105
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 Nicholas Purcell's NPI number?
The NPI number for Nicholas Purcell is 1861057598. It was assigned to this individual provider in the NPPES registry on May 8, 2019.
Where is Nicholas Purcell located?
Nicholas Purcell practices at 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105. The listed phone number is (605) 504-0100.
What is Nicholas Purcell's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Nicholas Purcell enrolled in Medicare?
Yes. Nicholas Purcell 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 organization bills Medicare for Nicholas Purcell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Purcell reassigns Medicare benefits to Avera Mckennan (Sioux Falls, SD). The 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 Nicholas Purcell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Purcell accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Nicholas Purcell 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 Nicholas Purcell affiliated with any hospitals?
According to CMS data, Nicholas Purcell is affiliated with Lakes Regional Healthcare, Avera Marshall Regional Medical Ctr, Pipestone County Medical Center, Avera Mckennan Hospital & University Health Center and Madison Regional Health System.
When was this NPI record last updated?
The NPPES record for Nicholas Purcell was last updated on January 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Nicholas Michael Purcell, MD · NPI 1861057598
Neurology physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since May 8, 2019.
## Identity
- **NPI:** 1861057598 (Entity type: Individual)
- **Enumerated:** May 8, 2019
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 00016642 (South Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1301 S CLIFF AVE STE 506, Sioux Falls, SD 57105-1023
- **Phone:** (605) 504-0100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Avera Mckennan (NPI 1114113693, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861057598) · Data from the CMS NPPES public registry.