Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Tetzlaff, PA-C

Individual provider Physician Assistant · NPI 1104371897

Katie Tetzlaff, PA-C is a Physician Assistant in Brookings, South Dakota. Qualified in 2016, 10 years ago. Practices with City of Brookings, a 113-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
10
Licensed in
SD
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

400 22nd Ave
Brookings, SD 57006-2450
Phone: (605) 697-9500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 1294 (SD)

Record details

NPI number1104371897
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2016
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice City Of Brookings — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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