Miranda A. Nygaard, PA
NPI 1104563204ActiveIndividual· Physician Assistant· Watertown, SD
Physician Assistant (PA) in Watertown, South Dakota, trained at University of North Dakota School of Medicine (class of 2022). 330 Medicare patients in 2024, $46,732 paid; nearly all of their 757 Part D prescriptions were generic (93%). Lilly USA, LLC was the largest of 7 companies reporting payments in 2025, $245.71 in all, mostly food and beverage.
Overview
| NPI | 1104563204 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | May 19, 2022 |
| Last updated in NPPES | Sep 7, 2022 |
| Certified by provider | Sep 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1385 | SD |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 330 |
|---|---|
| Services billed | 2,163 across 120 procedure codes |
| Paid by Medicare | $46,732 |
Part D prescriptions in 2024
| Prescriptions (claims) | 757 · 1,024 30-day fills |
|---|---|
| Patients | 330 |
| Total drug cost | $23,196 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Rural Health Care IncBrookings, SD · 154 clinicians
- Prairie Lakes Health Care System IncWatertown, SD · 109 clinicians
Hospital affiliation
- Prairie Lakes Healthcare System, IncWatertown, SD
Industry payments (Open Payments)
- 2025$245.71 · 14 payments from 7 companies
- 2024$540.61 · 32 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $86.79 | 5 |
| Bayer Healthcare Pharmaceuticals Inc. | $60.59 | 3 |
| Collegium Pharmaceutical, Inc. | $31.21 | 2 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $19.99 | 1 |
| Merck Sharp & Dohme LLC | $17.38 | 1 |
What the 2025 payments were for
- Food and Beverage$245.71 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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