Madelyn Rae Ponto, CNP
NPI 1629740857ActiveIndividual· Nurse Practitioner· Brookings, SD
Nurse Practitioner (CNP) with Avera McKennan and 3 other groups, practicing in Brookings, South Dakota. Their prescriptions cost Medicare Part D more than their services did: $47,166 for 1,086 claims, against $28,537 paid for services in 2024. Lists Brookings Health System and 1 other hospital as hospital affiliations.
Overview
| NPI | 1629740857 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Oct 5, 2021 |
| Last updated in NPPES | Oct 5, 2021 |
| Certified by provider | Oct 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | CP002167 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN); Practitioner - Nurse Practitioner (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 792 across 65 procedure codes |
| Paid by Medicare | $28,537 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,086 · 1,171 30-day fills |
|---|---|
| Patients | 317 |
| Total drug cost | $47,166 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Avera McKennanSioux Falls, SD · 959 clinicians
- Sanford Health NetworkTracy, MN · 351 clinicians
- Rural Health Care IncBrookings, SD · 154 clinicians
- City of BrookingsBrookings, SD · 115 clinicians
Hospital affiliations
- Brookings Health SystemBrookings, SD
- Sanford Canby Medical CenterCanby, MN
Other facilities
- Brookings Health SystemHome health agency · Brookings, SD
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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