NPIMap

Individual provider Active NPI

Justin Ward

  • Family Nurse Practitioner
  • Miller, SD
National Provider Identifier
1205294469
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001033 Issued in SD
Practice address
300 W 5TH St
Miller, SD 57362-1238
Phone
(605) 853-0175
NPI assigned
Feb 3, 2016
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP001033 SD
Family Nurse Practitioner 363LF0000X CP001033 SD Primary

Addresses

Primary practice location

300 W 5TH St
Miller, SD 57362-1238

Mailing address

300 W 5TH St
Miller, SD 57362-1238

Other practice location 1

300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone (605) 234-6551

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
I20160317001580 SD Practitioner - Nurse Practitioner 4183920176 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Nurse Practitioner Current Accepting new patients
Avera McKennan CurrentSince Feb 22, 2016 Accepting new patients
Avera McKennan CurrentSince Feb 22, 2016 Accepting new patients
Sanford Health Network Current Accepting new patients
Huron Regional Medical Center Inc CurrentSince Oct 14, 2021 Accepting new patients
Huron Regional Medical Center, Inc CurrentSince Oct 14, 2021 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Sanford Health Network CurrentSince May 26, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Sanford Health Network CurrentSince May 26, 2024 Accepting new patients
American Advanced Practice Network, P.C. Nurse Practitioner CurrentSince Jul 1, 2019 Accepting new patients
Avera McKennan CurrentSince Nov 1, 2025 Accepting new patients

Locations

300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

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

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

1056 29th St SE
Watertown, SD 57201
Phone (605) 214-5762

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Interoperability endpoints

  • Direct secure messaging: justin.ward@avera.sdhealthlink.net

Organizations & group practices 13

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.

View all 13

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1205294469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 5TH ST",
            "city": "MILLER",
            "state": "SD",
            "postal_code": "573621238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 5TH ST",
            "city": "MILLER",
            "state": "SD",
            "postal_code": "573621238",
            "telephone_number": "605-853-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Byron Blvd",
            "address_purpose": "LOCATION",
            "city": "Chamberlain",
            "state": "SD",
            "postal_code": "573259741",
            "country_code": "US",
            "telephone_number": "605-234-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller, SD

Sources for this page

Verify at the official NPI Registry.