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

Individual provider Physician Assistant · NPI 1609213339

Stephanie M Ideker, PA-C is a Physician Assistant in Sioux Falls, South Dakota. Qualified in 2013, 13 years ago. Practices with Urology Specialists Chartered, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
13
Licensed in
SD
In the registry since
2013
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

201 W 69th St
Sioux Falls, SD 57108
Phone: (605) 336-0635
Fax: (605) 271-0543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 — (605) 328-3840

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0868 (SD)

Record details

NPI number1609213339
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2013
Last updated in NPPESMay 2, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Urology Specialists Chartered — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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