Jill Waggoner, DNP - Medicare Nurse Practitioner in Sioux Falls, SD

Jill Waggoner, DNP is a medicare enrolled "Nurse Practitioner" in Sioux Falls, South Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Medical Center, Sanford Medical Center and her current practice location is 1309 W 17th St Ste 101, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 328-8000.

Jill Waggoner is licensed to practice in South Dakota (license number CP001353) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710482450.

Contact Information

Jill Waggoner, DNP
1309 W 17th St Ste 101,
Sioux Falls, SD 57104-8805
(605) 328-8000
Not Available

Map and Direction




Provider's Profile

Full NameJill Waggoner
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1309 W 17th St Ste 101, Sioux Falls, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jill Waggoner graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1710482450
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 04/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517214208
  • Enrollment ID: I20180726001751

Medical Identifiers

Medical identifiers for Jill Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710482450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner CP001353 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Usd Medical CenterSioux falls, SDHospital
Orange City Area Health SystemOrange city, IAHospital
Sanford Luverne Medical CenterLuverne, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center8325950215717
Sanford Medical Center8325950215717

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jill Waggoner allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532
Entity NameSanford Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Waggoner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Waggoner, DNP
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -
Jill Waggoner, DNP
1309 W 17th St Ste 101,
Sioux Falls, SD 57104-8805

Ph: (605) 328-8000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.