Individual provider Active NPI

Amy Ann Newstrom, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1194030007
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP000608 Issued in SD
Practice address
3939 Canyon Lake Dr
Rapid City, SD 57702-0827
Phone
(605) 716-3555
Fax
(605) 413-1143
NPI assigned
Aug 16, 2010
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 CP000608 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP000608 SD Primary

Addresses

Primary practice location

3939 Canyon Lake Dr
Rapid City, SD 57702-0827

Mailing address

3939 Canyon Lake Dr
Rapid City, SD 57702-0827
Phone (605) 716-3555

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
I20101019000182 SD Practitioner - Nurse Practitioner 9335332766 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000608SDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manlove Psychiatric Group, P.C. CurrentSince Mar 1, 2013 Accepting new patients
Behavior Management Systems, Inc. CurrentSince May 17, 2021 Accepting new patients
Rapid City Mental Health Prof. LLC PastSince Aug 25, 2019 Accepting new patients

Locations

350 Elk St
Rapid City, SD 57701
Phone (605) 343-0650

636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000

623 Dahl Rd
Spearfish, SD 57783
Phone (605) 642-2777

Organizations & group practices 3

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1194030007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020827",
            "telephone_number": "605-716-3555",
            "fax_number": "605-413-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020827",
            "telephone_number": "605-716-3555",
            "fax_number": "605-413-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSTROM",
        "first_name": "AMY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000608",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP000608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.