Amanda McMillan, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP000893 Issued in SD

Practice address

701 W Broad Ave
Flandreau, SD 57028-1529

Phone

(605) 997-2642

Fax

(605) 997-9940

NPI assigned

Oct 14, 2014

Last updated

Mar 8, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Flandreau Santee Sioux TribeGroup PAC ID 0840376380, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Flandreau Hospital - Cah Hospital, Flandreau, SD, CCN 431310

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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

• Flandreau Santee Sioux Tribe

  • Adult Day Care Clinic/Center
  • Flandreau, SD
  • NPI 1437188729

  TX

  Medicare reassignment Care Compare group NPD

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

• Avera McKennan

  dba Avera Flandreau Hospital

  • Critical Access Hospital
  • Flandreau, SD
  • NPI 1295747608
  Care Compare affiliation

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1114321528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W BROAD AVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281529",
            "telephone_number": "605-997-2642",
            "fax_number": "605-997-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W BROAD AVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281529",
            "telephone_number": "605-997-2642",
            "fax_number": "605-997-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "AMANDA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oksana Johnson
• Alla Anatoly Jones, LPC-MH, LAC, QMHP
• Abbey Jo Kitto, CNP-FNP
• Katherine E Krystosek, MS, ATC
• Leslie J. Heinemann, DDS, PC
• Jeanie Alyson Nold, R.PH.
• Megan Petersen, ATC
• Jeffery Lee Peterson, M.D.
• Mariah Peterson, CNP
• Scott Peterson, MD

• Family Nurse Practitioner in Flandreau, SD
• Providers in Flandreau, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.