NPIMap

Individual provider Active NPI

Amanda Glanzer

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1023565645
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001121 Issued in SD
Practice address
7701 W 65TH St
Sioux Falls, SD 57106-8802
Phone
(605) 212-2883
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001121 SD Primary

Addresses

Primary practice location

7701 W 65TH St
Sioux Falls, SD 57106-8802

Mailing address

7701 W 65TH St
Sioux Falls, SD 57106-8802
Phone (605) 212-2883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161129001245 MN Practitioner - Nurse Practitioner 8628358140 Reassigns benefits to 4 organizations
I20181218003836 SD Practitioner - Nurse Practitioner 8628358140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians

Practice addresses (Care Compare)

920 Bell Ave
Westbrook, MN 56183-9669
Phone (507) 274-1150

Hospital & facility affiliations

  • Avera at Home Marshall Home health agency, Marshall, MN, CCN 248144
  • Sanford Tracy Medical Center Hospital, Tracy, MN, CCN 241303
  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
  • Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP001121SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Dec 14, 2016 Accepting new patients
Sanford Health Network CurrentSince May 28, 2022 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Medical Center CurrentSince Oct 12, 2018 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network Past Accepting new patients

Locations

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

830 8th St
Walnut Grove, MN 56180
Phone (507) 859-2157

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1023565645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 W 65TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571068802",
            "telephone_number": "605-212-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 W 65TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571068802",
            "telephone_number": "605-212-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANZER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.