Jessica Lynn Spaulding, MSN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sioux Falls, SD
NPI 1275174641 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1275174641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 200514 (SD)
- Practice address
- 6110 S Minnesota Ave
Sioux Falls, SD 57108-2549 - Phone
- (605) 328-5800
- Fax
- (605) 312-9031
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
2150 Hospital Dr
Windom, MN 56101-1287
Phone (605) 328-8900
Hospital & facility affiliations
- Sanford Canby Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, 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 |
|---|---|---|---|---|
| I20200115003027 | MN | Practitioner - Nurse Practitioner | 8820423098 | Reassigns benefits to 1 organization |
| I20260616004715 | SD | Practitioner - Nurse Practitioner | 8820423098 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7103 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
| 200514 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Counseling P.C. | Current |
Accepting new patients |
Locations
105 2nd Ave NE
Ste 110
Glenwood, MN 56334
Phone (320) 223-2382
10 E 6th St
Ste 102
Morris, MN 56267
Phone (320) 428-0744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7103 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200514 | SD | Yes |
Addresses
Primary practice location
6110 S Minnesota Ave
Sioux Falls, SD 57108-2549
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419
Other providers in Sioux Falls, SD
- Melissa Spanggaard
- William C Spanos
- Arianna Elizabeth Sparks
- Sparrow Counseling LLC
- Sara Luverne Spartz
- Megan Jo Spawn
- Benjamin Specht
- Specialty Orthopedics Prof LLC
- Lindsay Speer
- Wesley Speer
All providers in Sioux Falls, 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 Jun 2, 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).
- 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.