Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Marie Villarreal, PA-C

Individual provider Physician Assistant · NPI 1124844352

Kaitlyn Marie Villarreal, PA-C is a Physician Assistant in Sioux Falls, South Dakota. Qualified in 2024, 2 years ago. Practices with Sanford Medical Center, a 842-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
2
Licensed in
SD
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2400 W 49th St
Sioux Falls, SD 57105-6581
Phone: (605) 312-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5300 S Marion Rd Apt 410, Sioux Falls, SD 57106-6718 — (605) 270-6265

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (SD)

Record details

NPI number1124844352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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