THERESA MICHELLE NEWCOMB APRN-NP
NPI 1962939231
Nurse Practitioner - Family in Sioux Falls, SD

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since May 17, 2017PECOS EnrolledAccepts Medicare Assignment

2601 S ELLIS RD, SIOUX FALLS, SD 57106(605) 332-2883(605) 323-8283 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2024, May 17, 2017 (2 updates tracked since 2017).

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About Theresa Michelle Newcomb Aprn-np NPPES

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

THERESA MICHELLE NEWCOMB APRN-NP (NPI 1962939231) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001728) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962939231

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHERESA MICHELLE NEWCOMBCredential: APRN-NP

Location Address2601 S ELLIS RDSioux Falls, SD 57106-7067

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419

Phone(605) 332-2883

Fax(605) 323-8283

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 17, 2017

Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1962939231 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

Licenses✔ Licensed in SD · CP001728✔ Licensed in NE · 112207

2601 S ELLIS RD, Sioux Falls, SD 57106

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Accepted Insurance

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

Theresa Michelle Newcomb Aprn-np 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 ID9537434477

PECOS Enrollment IDI20200507002096

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 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.

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