NPI 1417954470 · live from the CMS NPI Registry
Kelly Michele Jerstad, MD
Dermatology in Sioux Falls, SD. National Provider Identifier 1417954470, active.
NPI record
| NPI | 1417954470 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 4950 S Minnesota Ave, Sioux Falls, SD 57108 |
| Practice phone | 605-330-9619 |
| Enumerated | July 6, 2005 |
| Last updated | February 25, 2026 |
| Sole proprietor | No |
| Other names | Kelly Binstock |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 48874 (IA) |
| Dermatology primary | 207N00000X | 5248 (SD) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 5248 (SD) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 48874 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.