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Individual provider Active NPI

Elizabeth Ann O'Neill, MS ARNP-BC

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1215135348
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000514 Issued in SD
Practice address
1000 E 23Rd St
Suite #230
Sioux Falls, SD 57105-2108
Phone
(605) 322-7334
Fax
(605) 322-6738
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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 CP000514 SD Primary

Addresses

Primary practice location

1000 E 23Rd St
Suite #230
Sioux Falls, SD 57105-2108

Mailing address

1000 E 23Rd St
Suite #230
Sioux Falls, SD 57105-2108
Phone (605) 322-7334

Other identifiers 1

IdentifierTypeStateIssuer
6833380MedicaidSD

Other names 1

  • Mrs. Elizabeth Ann Harden Former name

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
I20080723000643 SD Practitioner - Nurse Practitioner 9830262856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000514SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Oct 1, 2010 Accepting new patients
Avera McKennan CurrentSince Oct 1, 2010 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan PastSince Jan 18, 2011 Accepting new patients
Avera McKennan Nurse Practitioner Past Accepting new patients

Locations

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

911 E 20th St
Ste 507
Sioux Falls, SD 57105
Phone (605) 322-7330

1000 E 23rd St
Ste 230
Sioux Falls, SD 57105
Phone (605) 322-6900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1215135348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST",
            "address_2": "SUITE #230",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052108",
            "telephone_number": "605-322-7334",
            "fax_number": "605-322-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST",
            "address_2": "SUITE #230",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052108",
            "telephone_number": "605-322-7334",
            "fax_number": "605-322-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6833380",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HARDEN",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.