Samantha June Bakker
Individual provider Active NPI Family Medicine Physician · Sioux Falls, SD
NPI 1265307151 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1265307151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- CP003847 (SD)
- Practice address
- 1325 S Cliff Ave
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-1600
- NPI assigned
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
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 |
|---|---|---|---|---|
| I20251218001471 | SD | Practitioner - Nurse Practitioner | 0345735254 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP003847 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Single Specialty | Current |
Accepting new patients |
| Avera McKennan | Single Specialty | Current |
Accepting new patients |
Locations
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | CP003847 | SD | Yes |
Addresses
Primary practice location
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Mailing address
1101 110TH Ave
Luverne, MN 56156-4111
Phone (507) 829-5361
Other providers in Sioux Falls, SD
- Jonathon Bakke
- Laura A Bakke
- Derek Bakken
- Suzanne Lea Bakken
- Jada Lee Bakker
- Balance Foundation Inc
- Balance Point
- Balanced Life Chiropractic PC
- Balanced Spine & Wellness, LLC
- Cynthia Ann Baldwin
All providers in Sioux Falls, SD · Family Medicine Physician 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 Oct 9, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.