MRS. JONI MARIE SENGOS CNP
NPI 1922406727
Nurse Practitioner - Family in Sioux Falls, SD

Active since December 09, 2014PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
3801 S ELMWOOD AVE, SIOUX FALLS, SD 57105(605) 306-6140(605) 306-6500 Get Directions Write a Review

NPPES record last updated: August 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2022, Apr 29, 2022 (2 updates tracked since 2022).

About Mrs. Joni Marie Sengos Cnp NPPES

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

MRS. JONI MARIE SENGOS CNP (NPI 1922406727) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000897) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1922406727
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JONI MARIE SENGOSCredential: CNP
Location Address3801 S ELMWOOD AVESioux Falls, SD 57105-6565
Mailing Address3801 S Elmwood AveSioux Falls, SD 57105-6565 · (605) 306-6140 · Fax (605) 306-6500
Fax(605) 306-6500
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 9, 2014
Last NPPES UpdateAugust 7, 20222 updates tracked since enumeration
NPPES CertifiedAugust 7, 2022
✔ NPI 1922406727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP000897
3801 S ELMWOOD AVE, 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

Mrs. Joni Marie Sengos 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 ID7315264330
PECOS Enrollment IDI20150331001503
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

2

Medicare enrollment records show Joni Sengos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5019 S WESTERN AVE, STE 200
Sioux Falls, SD 57108
  • Reassigned Medicare billing, Iowa enrollment
  • 59 clinicians in this Medicare group
Urology
201 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • 43 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.

Hospital Affiliations CMS Care Compare 3

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

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 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
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Surgery (Vascular Surgery)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Surgery (Vascular Surgery)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Surgery (Vascular Surgery)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Surgery (Vascular Surgery)
3801 S ELMWOOD AVE
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 Joni Sengos's NPI number?

The NPI number for Joni Sengos is 1922406727. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Where is Joni Sengos located?

Joni Sengos practices at 3801 S Elmwood Ave, Sioux Falls, SD 57105. The listed phone number is (605) 306-6140.

What is Joni Sengos's specialty?

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

Is Joni Sengos enrolled in Medicare?

Yes. Joni Sengos 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 Joni Sengos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joni Sengos reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Urology Specialists Chartered (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 Joni Sengos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joni Sengos accept?

Health plans from Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Joni Sengos 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 Joni Sengos affiliated with any hospitals?

According to CMS data, Joni Sengos is affiliated with Sanford Worthington Medical Center, Avera Mckennan Hospital & University Health Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Joni Sengos was last updated on August 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.