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LEXI TUHOLSKY
NPI 1871228353
Nurse Practitioner - Obstetrics & Gynecology in Sioux Falls, SD

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
2601 S ELLIS RD, SIOUX FALLS, SD 57106(605) 312-3000 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2025, Jul 19, 2022 (2 updates tracked since 2022).

About Lexi Tuholsky NPPES

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

LEXI TUHOLSKY (NPI 1871228353) is an individual obstetrics & gynecology provider in Sioux Falls, South Dakota, licensed in South Dakota (CP002464) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871228353
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameLEXI TUHOLSKY
Location Address2601 S ELLIS RDSioux Falls, SD 57106-7067
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 312-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2022
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1871228353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in SD · CP002464
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP002464 (SD)
2601 S ELLIS RD, Sioux Falls, SD 57106
Open in Google Maps ↗

Accepted Insurance

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

Lexi Tuholsky 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 ID6103200407
PECOS Enrollment IDI20220906002725
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

3

Medicare enrollment records show Lexi Tuholsky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
2.1 mi
Clinic/Center
2310 S MARION RD STE 140
Sioux Falls, SD 57106
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1164069506 (605) 328-6690
Avera Mckennan
3.3 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
Sanford Medical Center
5.2 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services23 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57106 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.

LIEN LIEVE SWIERINGA NP
Nurse Practitioner (Women's Health)
2601 S ELLIS RD
SIOUX FALLS, SD 57106
Minnehaha County (605) 312-3000
SANFORD VIRTUAL CARE
Clinic/Center (Multi-Specialty)
2601 S ELLIS RD
SIOUX FALLS, SD 57106
Minnehaha County (605) 332-2883
JENNIFER SUSANNE SENGE CNP
Nurse Practitioner (Obstetrics & Gynecology)
2601 S ELLIS RD
SIOUX FALLS, SD 57106
Minnehaha County (605) 312-3000
JILL MARIE MELBY CNP
Nurse Practitioner (Family)
2601 S ELLIS RD
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-9600
SUSAN DINSMORE MA, LMFT
Marriage & Family Therapist
2601 S ELLIS RD
SIOUX FALLS, SD 57106
Minnehaha County (605) 312-3000
DAVID KAPPERMAN MD
Family Medicine
2601 S ELLIS RD
SIOUX FALLS, SD 57106
Minnehaha County (605) 312-3000
DR. BIANCA JOHNSON MD
Pediatrics
2601 S ELLIS RD
SIOUX FALLS, SD 57106
Minnehaha County (605) 312-3000
CARLEIGH R BELUSH PNP
Nurse Practitioner (Pediatrics)
2601 S ELLIS RD
SIOUX FALLS, SD 57106
Minnehaha County (605) 312-3000

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 Lexi Tuholsky's NPI number?

The NPI number for Lexi Tuholsky is 1871228353. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Lexi Tuholsky located?

Lexi Tuholsky practices at 2601 S Ellis Rd, Sioux Falls, SD 57106. The listed phone number is (605) 312-3000.

What is Lexi Tuholsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Lexi Tuholsky enrolled in Medicare?

Yes. Lexi Tuholsky 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 Lexi Tuholsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lexi Tuholsky reassigns Medicare benefits to 3 organizations: Sanford Clinic (Sioux Falls, SD), Avera Mckennan (Sioux Falls, SD) and Sanford Medical Center (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 Lexi Tuholsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lexi Tuholsky accept?

Health plans from Avera Health Plans, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Lexi Tuholsky 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 Lexi Tuholsky affiliated with any hospitals?

According to CMS data, Lexi Tuholsky is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Lexi Tuholsky was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.