Amy Ann Newstrom, CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Rapid City, SD
NPI 1194030007 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1194030007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CP000608 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20101019000182 | SD | Practitioner - Nurse Practitioner | 9335332766 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000608 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manlove Psychiatric Group, P.C. | Current |
Accepting new patients | |
| Behavior Management Systems, Inc. | Current |
Accepting new patients | |
| Rapid City Mental Health Prof. LLC | Past |
Accepting new patients |
Locations
636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000
350 Elk St
Rapid City, SD 57701
Phone (605) 343-0650
623 Dahl Rd
Spearfish, SD 57783
Phone (605) 642-2777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000608 | SD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP000608 | SD | Yes |
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
Other providers in Rapid City, SD
- Brook Newell
- Christine Lynn Newkirk
- Adam P Newman
- Jessica Anne Newman
- Suzanne Newsom
- Priscilla Ann Nez
- Anh Q Nguyen Harper
- Darlene Nichols-Ecoffey
- Brittany Niemela
- Mikayla Niemoth
All providers in Rapid City, 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 Mar 12, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.