NPIMap

Individual provider Active NPI

Stephanie Leader, CNP

  • Family Nurse Practitioner
  • Platte, SD
National Provider Identifier
1184050437
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000833 Issued in SD
Practice address
601 E 7TH St
Platte, SD 57369-2123
Phone
(605) 337-1503
Fax
(605) 337-3360
NPI assigned
Sep 18, 2013
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP000833 SD Primary
Family Nurse Practitioner 363LF0000X R2159467 MN

Addresses

Primary practice location

601 E 7TH St
Platte, SD 57369-2123

Mailing address

601 E 7TH St
Platte, SD 57369-2123
Phone (605) 337-1503

Other identifiers 1

IdentifierTypeStateIssuer
S109282OtherSDPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303001831 SD Practitioner - Nurse Practitioner 4981830098 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Community Memorial Hospital IncGroup PAC ID 6507770054, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

601 E 7TH St
Platte, SD 57369-2123
Phone (605) 337-3364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2159467MNMDFamily Nurse Practitioner
CP000833SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Current Accepting new patients
Platte Community Memorial Hospital Inc Current Accepting new patients
Avera Queen of Peace CurrentSince Dec 22, 2022 Accepting new patients
Avera Queen of Peace CurrentSince Aug 28, 2025 Accepting new patients
Platte Ambulance Service Current Accepting new patients
Platte Community Memorial Hospital Inc. CurrentSince May 26, 2015 Accepting new patients
Platte Community Memorial Hospital, Inc. PastSince Aug 1, 2021 Accepting new patients
Platte Community Memorial Hospital, Inc Past Accepting new patients
Platte Community Memorial Hospital Inc Past Accepting new patients

Locations

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

601 E 7th St
Platte, SD 57369
Phone (605) 337-2633

601 E 7th St
Ste 3
Platte, SD 57369
Phone (605) 337-2633

306 S Johnston St
White Lake, SD 57383
Phone (605) 337-1529

Interoperability endpoints

  • Direct secure messaging: stephanie.leader@avera.sdhealthlink.net

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1184050437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-1503",
            "fax_number": "605-337-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-1503",
            "fax_number": "605-337-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADER",
        "first_name": "STEPHANIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000833",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R2159467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "S109282",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte, SD

Sources for this page

Verify at the official NPI Registry.