MS. PAMELA A BARTHLE MSN ACNP
NPI 1881837946
Nurse Practitioner in Sioux Falls, SD

Active since April 19, 2009PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1301 W 18TH ST, SIOUX FALLS, SD 57105(605) 312-2200(605) 312-2205 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2022, Jul 31, 2020, Apr 13, 2020 (3 updates tracked since 2020).

About Ms. Pamela A Barthle Msn Acnp NPPES

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

MS. PAMELA A BARTHLE MSN ACNP (NPI 1881837946) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000903) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1881837946
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. PAMELA A BARTHLECredential: MSN ACNP
Location Address1301 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(605) 312-2205
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 19, 2009
Last NPPES UpdateOctober 17, 20253 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
✔ NPI 1881837946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in SD · CP000903✔ Licensed in MN · 2748✔ Licensed in IA · L163058
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 103330 (MO), CP000903 (SD)
1301 W 18TH ST, Sioux Falls, SD 57105

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

Ms. Pamela A Barthle Msn Acnp 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 ID9739239567
PECOS Enrollment IDI20150228000020, I20200720001291
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 Pamela Barthle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Cardiovascular Disease
1301 W 18TH ST
Sioux Falls, SD 57105
  • Reassigned Medicare billing, Iowa, Minnesota and South Dakota enrollments
  • 59 clinicians in this Medicare group
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, Minnesota and South Dakota enrollments
  • 57 clinicians in this Medicare group
Family Medicine
400 N HIAWATHA DRIVE
Canton, SD 57013
  • Reassigned Medicare billing, South Dakota and Minnesota enrollments
  • Also billed through NPI 1497703045 (Minnesota)
  • 422 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 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.
18 services18 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Physician Assistant
1301 W 18TH ST
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 Pamela Barthle's NPI number?

The NPI number for Pamela Barthle is 1881837946. It was assigned to this individual provider in the NPPES registry on April 19, 2009.

Where is Pamela Barthle located?

Pamela Barthle practices at 1301 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 312-2200.

What is Pamela Barthle's specialty?

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

Is Pamela Barthle enrolled in Medicare?

Yes. Pamela Barthle 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 Pamela Barthle's services?

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

What insurance does Pamela Barthle accept?

Health plans from Oscar Insurance Company, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Pamela Barthle 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 Pamela Barthle affiliated with any hospitals?

According to CMS data, Pamela Barthle is affiliated with Sanford Usd Medical Center and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Pamela Barthle was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.