TONI MICHELLE MATSON APRN, CNP
NPI 1871337410
Nurse Practitioner - Family in Sioux Falls, SD

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment
4405 E 26TH ST, SIOUX FALLS, SD 57103(605) 332-2883 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Toni Michelle Matson Aprn, Cnp NPPES

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

TONI MICHELLE MATSON APRN, CNP (NPI 1871337410) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP003762) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871337410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI MICHELLE MATSONCredential: APRN, CNP
Location Address4405 E 26TH STSioux Falls, SD 57103-4187
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2024
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1871337410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP003762
Also ListedNurse PractitionerTaxonomy 363L00000X · License CP003762 (SD)
4405 E 26TH ST, Sioux Falls, SD 57103

Secondary Practice Locations 2

Location 12601 S Ellis RdSioux Falls, SD 57106-7067 · Phone (605) 312-3000
Location 21305 W 18h StSioux Falls, SD 57105 · Phone (605) 333-1000

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

Toni Michelle Matson Aprn, 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 ID244720779
PECOS Enrollment IDI20251104002520
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

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 57103 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.

Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Student in an Organized Health Care Education/Training Program
4405 E 26TH ST
SIOUX FALLS, SD 57103
Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103
Physician Assistant
4405 E 26TH ST
SIOUX FALLS, SD 57103
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103

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 Toni Matson's NPI number?

The NPI number for Toni Matson is 1871337410. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Toni Matson located?

Toni Matson practices at 4405 E 26th St, Sioux Falls, SD 57103. The listed phone number is (605) 332-2883.

What is Toni Matson's specialty?

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

Is Toni Matson enrolled in Medicare?

Yes. Toni Matson 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 Toni Matson accept?

Health plans from Sanford Health Plan list Toni Matson 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 Toni Matson affiliated with any hospitals?

According to CMS data, Toni Matson is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Toni Matson was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.