Individual provider Active NPI

Jessica Alice Freudenthal, NP-C

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1114485364
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP001540 Issued in SD
Practice address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone
(701) 322-8988
NPI assigned
Mar 6, 2019
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP001540 SD Primary

Addresses

Primary practice location

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Mailing address

601 W Walnut St
Parkston, SD 57366-2149
Phone (775) 343-5322

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190405002160 SD Practitioner - Nurse Practitioner 1153662853 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Hyperbarics, LLCGroup PAC ID 5799205209, 3 clinicians

Practice addresses (Care Compare)

6300 S Lyncrest Ave
Sioux Falls, SD 57108-2558
Phone (605) 743-0402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11605MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Mar 25, 2019 Accepting new patients
St. Benedict Health Center CurrentSince Jul 1, 2020 Accepting new patients
Avera Queen of Peace Current Accepting new patients
St Benedict Health Center Current Accepting new patients
Avera Queen of Peace CurrentSince Apr 25, 2021 Accepting new patients
St Benedict Health Center CurrentSince Jul 1, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Mar 25, 2019 Accepting new patients
Avera Queen of Peace CurrentSince Apr 25, 2021 Accepting new patients
Midwest Hyperbarics, LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

6300 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 366-9802

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1114485364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W WALNUT ST",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573662149",
            "telephone_number": "775-343-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051007",
            "telephone_number": "701-322-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENTHAL",
        "first_name": "JESSICA",
        "middle_name": "ALICE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.