Amanda Charlene Noonan, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sioux Falls, SD
NPI 1043189673 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1043189673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CP0033894 (SD)
- Practice address
- 1600 W 22ND St
Sioux Falls, SD 57105-1521 - Phone
- (605) 328-6585
- NPI assigned
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Sioux Falls, SD 57118-6370
PO Box
Suite 86370
Sioux Falls, SD 57118
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260306000841 | SD | Practitioner - Nurse Practitioner | 1557843661 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP0033894 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients |
Locations
4400 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-4005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP0033894 | SD | Yes |
Addresses
Primary practice location
1600 W 22ND St
Sioux Falls, SD 57105-1521
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
4400 W 69th St
Sioux Falls, SD 57108-8170
Phone (605) 322-4005
Other providers in Sioux Falls, SD
- Rachel Ashley Noblitt
- Joan Lee Nold
- Collin Noldner
- Terri Noldner
- Angela Kay Nolz
- Felicia A. Noonan
- James Noonan
- Ryan J Noonan
- Madeline Nooney
- Gaea Linn Bossman Noordsy
All providers in Sioux Falls, SD · Psychiatric/Mental Health Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.