MARY TICKNOR DNAP
NPI 1881430163
Nurse Anesthetist, Certified Registered in Sioux Falls, SD
About Mary Ticknor Dnap NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY TICKNOR DNAP (NPI 1881430163) is an individual nurse anesthetist, certified registered in Sioux Falls, South Dakota, licensed in South Dakota (CR001191) and active in the NPI registry since July 2024. She is affiliated with Avera Mckennan Hospital & University Health Center and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mary Ticknor Dnap 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 Mary Ticknor 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
- 66 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDSioux Falls Specialty Hospital
Acute Care Hospitals · Sioux Falls, 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Ticknor's NPI number?
The NPI number for Mary Ticknor is 1881430163. It was assigned to this individual provider in the NPPES registry on July 5, 2024. The provider is also known as Mary Santella.
Where is Mary Ticknor located?
Mary Ticknor practices at 910 E 20th St, Sioux Falls, SD 57105. The listed phone number is (605) 334-6730.
What is Mary Ticknor's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mary Ticknor enrolled in Medicare?
Yes. Mary Ticknor 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 Mary Ticknor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ticknor reassigns Medicare benefits to Sioux Falls Specialty Hospital, LLP (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 Mary Ticknor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Ticknor accept?
Health plans from Avera Health Plans, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Mary Ticknor 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 Mary Ticknor affiliated with any hospitals?
According to CMS data, Mary Ticknor is affiliated with Avera Mckennan Hospital & University Health Center and Sioux Falls Specialty Hospital.
When was this NPI record last updated?
The NPPES record for Mary Ticknor was last updated on July 5, 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.
# Mary Ticknor, DNAP · NPI 1881430163
Nurse Anesthetist, Certified Registered physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since July 5, 2024.
## Identity
- **NPI:** 1881430163 (Entity type: Individual)
- **Enumerated:** July 5, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** CR001191 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 910 E 20TH ST, Sioux Falls, SD 57105-1012
- **Phone:** (605) 334-6730
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Sioux Falls Specialty Hospital, LLP (NPI 1316946809, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881430163) · Data from the CMS NPPES public registry.