Theresa Newcomb, APRN-NP
NPI 1962939231 · Family Nurse Practitioner · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Newcomb, APRN-NP is a Family Nurse Practitioner provider in Sioux Falls, SD (NPI 1962939231).
Provider details
- NPI number
- 1962939231
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-NP
- Sex
- Female
- Sole proprietor
- No
- License
- 112207 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
16 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $53 |
Typical Medicare-allowed amounts for these services range $53–$53 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-17
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Frequently asked questions
- What is Theresa Newcomb's NPI number?
- Theresa Newcomb's National Provider Identifier (NPI) is 1962939231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Newcomb's specialty?
- Theresa Newcomb is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Newcomb located?
- Theresa Newcomb's practice location on file with NPPES is 2601 S Ellis Rd, Sioux Falls, SD 57106-7067.
- What is Theresa Newcomb's phone number?
- The practice phone number listed in the NPPES registry for Theresa Newcomb is (605) 332-2883.
- Does Theresa Newcomb accept Medicare?
- Theresa Newcomb is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Newcomb's NPI active?
- Yes — Theresa Newcomb's NPI (1962939231) is active in the NPPES registry as of the last update on 2024-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.