Amy L. Bakker, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0544 Issued in SD

Practice address

400 22ND Ave.
Brookings, SD 57006-2497

Phone

(605) 697-9500

Fax

(605) 697-6939

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of BrookingsGroup PAC ID 1052307105, 112 clinicians

Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brookings Health System Hospital, Brookings, SD, CCN 430008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.bakker@avera.sdhealthlink.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rural Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Murdo, SD
  • NPI 1720076441
  Medicare reassignment Care Compare group NPD (past)
• City of Brookings

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029
  Medicare reassignment Care Compare group
• City of Brookings

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1134558158
  NPD
• City of Brookings

  • Rural Health Clinic/Center
  • Volga, SD
  • NPI 1811318074
  NPD
• City of Brookings

  • Rural Health Clinic/Center
  • Arlington, SD
  • NPI 1902123581
  NPD
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Brookings, SD
  • NPI 1386254191
  NPD
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Marshall, MN
  • NPI 1740944602
  NPD
• Avera McKennan

  • General Practice Physician
  • Brookings, SD
  • NPI 1912936535
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Brookings

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1134558158

  Hospital

  Care Compare affiliation
• City of Brookings

  • General Acute Care Hospital
  • Brookings, SD
  • NPI 1275515579
  Care Compare affiliation
• City of Brookings

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029

  Hospital

  Care Compare affiliation
• City of Brookings

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1982057246

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1003868290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 22ND AVE.",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062497",
            "telephone_number": "605-697-9500",
            "fax_number": "605-697-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 22ND AVE.",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062497",
            "telephone_number": "605-697-9500",
            "fax_number": "605-697-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKER",
        "first_name": "AMY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825122",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avera McKennan
• Avera McKennan
• Amy Richmond Aylor, PHARMD
• Terrence Elliott Babb, M.D.
• Keri Leigh Bachar, PT
• Michael Don Bartley, LHAD # 172
• Janine Dawn Bassett, CNP
• Rebekah Marie Turnbull Bassett, CSW
• Baylee Beaner
• Kyle Behl, PT

• Physician Assistant in Brookings, SD
• Providers in Brookings, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.