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

Timothy Fagerness, CNP

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1649993817

Timothy Fagerness, CNP is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2022, 4 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
4
Licensed in
SD
In the registry since
2022
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

911 E 20th St Ste 300
Sioux Falls, SD 57105-1045
Phone: (605) 504-1100
Show map & directions

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

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence CP002523 (SD)

Record details

NPI number1649993817
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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