KELLY ANNE TOLLEY CNP
NPI 1992299614
Nurse Practitioner - Obstetrics & Gynecology in Sioux Falls, SD

Q: What is Kelly Tolley's NPI number?

The NPI number for Kelly Tolley is 1992299614. It was assigned to this individual provider in the NPPES registry on June 16, 2018. The provider is also known as Kelly Anne Fleming.

Q: What is Kelly Tolley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Tolley was last updated on July 27, 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.

Active since June 16, 2018PECOS EnrolledAccepts Medicare Assignment

83.98/100

CMS Quality Rating

1309 W 17TH ST, SIOUX FALLS, SD 57104(605) 312-3250(605) 321-3251 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2022, Feb 13, 2020, Jun 16, 2018 (3 updates tracked since 2018).

On this page

About Kelly Anne Tolley Cnp NPPES

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

KELLY ANNE TOLLEY CNP (NPI 1992299614) is an individual obstetrics & gynecology provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001383) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1992299614

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameKELLY ANNE TOLLEYCredential: CNP

Location Address1309 W 17TH STSioux Falls, SD 57104-4663

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 312-3250

Fax(605) 321-3251

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 16, 2018

Last NPPES UpdateJuly 27, 20223 updates tracked since enumeration

NPPES CertifiedJuly 27, 2022

✔ NPI 1992299614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in SD · CP001383

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP001383 (SD)

1309 W 17TH ST, Sioux Falls, SD 57104

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Other Names 1

Former Name (1)Kelly Anne Fleming

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.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

Kelly Anne Tolley 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 ID7911258660

PECOS Enrollment IDI20180919003949

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 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 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.

92 services76 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.

29 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161360

Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County

Emergency services

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350015

Location300 N 7th StBismarck, ND 58506 · Burleigh 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 57104 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.

83.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.28

Promoting Interoperability

Improvement Activities

Cost

68.15

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.

CHELSEY ZONDERVAN CNP

Nurse Practitioner (Family)

1309 W 17TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-8000

KIMBERLY CAYE NIEMANN CNP

Nurse Practitioner

1309 W 17TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-8000

KRISTEN K MAUGHAN MS,RDN,LDN

Dietitian, Registered

1309 W 17TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-8000

MICHELE M LOHR M.D.

Radiology (Radiation Oncology)

1309 W 17TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-6001

RYAN K NOWAK MD

Radiology (Radiation Oncology)

1309 W 17TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-6001

LARISSA L RISTY CGC

Genetic Counselor, MS

1309 W 17TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-4641

SUSAN J HALBRITTER CNP

Nurse Practitioner

1309 W 17TH ST, STE 101
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-8000

ASHLEY KAY HEUPEL CNP

Nurse Practitioner (Acute Care)

1309 W 17TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-8000

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 Kelly Tolley's NPI number?

The NPI number for Kelly Tolley is 1992299614. It was assigned to this individual provider in the NPPES registry on June 16, 2018. The provider is also known as Kelly Anne Fleming.

Where is Kelly Tolley located?

Kelly Tolley practices at 1309 W 17th St, Sioux Falls, SD 57104. The listed phone number is (605) 312-3250.

What is Kelly Tolley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Kelly Tolley enrolled in Medicare?

Yes. Kelly Tolley 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.

What insurance does Kelly Tolley accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Kelly Tolley 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 Kelly Tolley affiliated with any hospitals?

According to CMS data, Kelly Tolley is affiliated with Orange City Area Health System, Sanford Medical Center Bismarck and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Tolley was last updated on July 27, 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.