1. Home
  2. Directory
  3. South Dakota
  4. Summerset
  5. Physician Assistant
  6. NPI Profile

KENNETH EDWARD YAW PA-C
NPI 1982166377
Physician Assistant in Summerset, SD

Active since April 03, 2019PECOS Enrolled
8064 STEAMBOAT CT, SUMMERSET, SD 57769(209) 601-0780 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Edward Yaw Pa-c NPPES

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

KENNETH EDWARD YAW PA-C (NPI 1982166377) is an individual physician assistant in Summerset, South Dakota, licensed in South Dakota (1363) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982166377
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH EDWARD YAWCredential: PA-C
Location Address8064 STEAMBOAT CTSummerset, SD 57769-6213
Mailing Address8064 Steamboat CtSummerset, SD 57769-6213 · (209) 601-0780
Phone(209) 601-0780
Sole ProprietorNo
Enumeration DateApril 3, 2019
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1982166377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in SD · 1363✔ Licensed in AZ · 7377
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8064 STEAMBOAT CT, Summerset, SD 57769
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Edward Yaw Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57769 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kenneth Yaw's NPI number?

The NPI number for Kenneth Yaw is 1982166377. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Kenneth Yaw located?

Kenneth Yaw practices at 8064 Steamboat Ct, Summerset, SD 57769. The listed phone number is (209) 601-0780.

What is Kenneth Yaw's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Yaw enrolled in Medicare?

Yes. Kenneth Yaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Yaw was last updated on June 29, 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.