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

Rebecca Lynn Immonen-Sage, PA-C

Individual provider Physician Assistant · NPI 1205120821

Rebecca Lynn Immonen-Sage, PA-C is a Physician Assistant in Sioux Falls, South Dakota. Qualified in 2011, 15 years ago. Practices with Heart Hospital of South Dakota LLC, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and South Dakota.

Years since qualifying
15
Licensed in
MN, SD
In the registry since
2011
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

4520 W 69th St
Sioux Falls, SD 57108-8148
Phone: (605) 977-5000
Fax: (605) 977-5377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 6th Ave N, Saint Cloud, MN 56303-2735 — (320) 656-7020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1376 (SD)
Physician Assistant Taxonomy 363A00000X · Licence 11007 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 11007 (MN)

Record details

NPI number1205120821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 31, 2011
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Heart Hospital Of South Dakota Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sioux Falls