Individual provider Active NPI

Amber K Wolter, PAC

  • Medical Physician Assistant
  • Armour, SD
National Provider Identifier
1295007268
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0808 Issued in SD
Practice address
708 8TH St
Armour, SD 57313-2102
Phone
(605) 724-2151
Fax
(605) 724-2310
NPI assigned
Feb 6, 2012
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0808 SD Primary
Physician Assistant 363A00000X 0808 SD

Addresses

Primary practice location

708 8TH St
Armour, SD 57313-2102

Mailing address

708 8TH St
Armour, SD 57313-2102
Phone (605) 724-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000708 SD Practitioner - Physician Assistant 0749441848 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas County Memorial HospitalGroup PAC ID 7810889771, shared by 8 NPIs, 9 clinicians

Practice addresses (Care Compare)

708 8TH St
Armour, SD 57313-2102
Phone (605) 724-2310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.04 of 100Reported as apm
Quality
89.99
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Memorial Hospital CurrentSince Mar 1, 2012 Accepting new patients
Sanford Health Network Physician Assistant CurrentSince Jul 30, 2025 Accepting new patients
Douglas County Memorial Hospital CurrentSince Mar 1, 2012 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Aug 25, 2025 Accepting new patients
Sanford Health Network CurrentSince Jul 30, 2025 Accepting new patients
Sanford Health Network Current Accepting new patients
Sacred Heart Health Services CurrentSince Aug 25, 2025 Accepting new patients
Douglas County Memorial Hospital Past Accepting new patients
Sanford Health Network Physician Assistant Past Accepting new patients

Locations

708 8th St
Armour, SD 57313
Phone (605) 724-2159

265 E Main St
Corsica, SD 57328
Phone (605) 946-5411

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

301 Main St
Stickney, SD 57375
Phone (605) 732-4508

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

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1295007268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 8TH ST",
            "city": "ARMOUR",
            "state": "SD",
            "postal_code": "573132102",
            "telephone_number": "605-724-2151",
            "fax_number": "605-724-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 8TH ST",
            "city": "ARMOUR",
            "state": "SD",
            "postal_code": "573132102",
            "telephone_number": "605-724-2151",
            "fax_number": "605-724-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "AMBER",
        "middle_name": "K",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0808",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Armour, SD

Sources for this page

Verify at the official NPI Registry.