Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Renee L Blaha, PA-C

Individual provider Physician Assistant · NPI 1396700449

Miss. Renee L Blaha, PA-C is a Physician Assistant in Sioux Falls, South Dakota. Qualified in 2005, 21 years ago. Practices with Sanford Medical Center, a 842-clinician group and accepts Medicare assignment. Licensed in Minnesota, South Dakota and Wisconsin.

Years since qualifying
21
Licensed in
MN, SD, WI
In the registry since
2006
Specialties on file
3
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

1210 W 18th St Ste G01
Sioux Falls, SD 57104-4651
Phone: (605) 328-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0499 (SD)
Physician Assistant Taxonomy 363A00000X · Licence 1962 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 9828 (MN)

Record details

NPI number1396700449
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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