MRS. KRISTI JO METZGER CNP
NPI 1861838500
Nurse Practitioner in Sioux Falls, SD

Q: What is Kristi Metzger's NPI number?

The NPI number for Kristi Metzger is 1861838500. It was assigned to this individual provider in the NPPES registry on May 21, 2013. The provider is also known as Mrs. Kristi Jo Metzger Cnp.

Q: What is Kristi Metzger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristi Metzger was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 21, 2013PECOS EnrolledAccepts Medicare Assignment

77.99/100

CMS Quality Rating

1301 W 18TH ST, SIOUX FALLS, SD 57105(605) 312-2200(605) 312-2295 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Kristi Jo Metzger Cnp NPPES

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

MRS. KRISTI JO METZGER CNP (NPI 1861838500) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000786) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861838500

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KRISTI JO METZGERCredential: CNP

Location Address1301 W 18TH STSioux Falls, SD 57105-0401

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · Fax (605) 312-2295

Phone(605) 312-2200

Fax(605) 312-2295

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 21, 2013

Last NPPES UpdateJanuary 23, 2024

NPPES CertifiedJanuary 23, 2024

✔ NPI 1861838500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in SD · CP000786✔ Licensed in IA · A128667

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.

1301 W 18TH ST, Sioux Falls, SD 57105

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Other Names 1

Professional Name (2)Mrs. Kristi Jo Metzger Cnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Mrs. Kristi Jo Metzger 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 ID8224262787

PECOS Enrollment IDI20131016001290

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 2

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.

71 services69 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

Hospital Affiliations CMS Care Compare 5

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

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161381

Location118 North 7th AvenueSheldon, IA 51201 · Obrien County

Emergency services

Windom Area Health

Critical Access Hospitals · Windom, MN

OwnershipGovernment - Local

CMS Certification Number241332

Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County

Emergency services

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

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

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431336

Location20 South Plum StreetVermillion, SD 57069 · Clay 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.13

Promoting Interoperability

Improvement Activities

Cost

47.35

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.

MARIAH SCHURMAN CNP

Nurse Practitioner