Holly Ahlers, CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sioux Falls, SD
NPI 1366948663 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1366948663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CP001610 (SD)
- Practice address
- 2000 S. Summit Ave
Sioux Falls, SD 57105
Sioux Falls, SD 57105 - Phone
- (605) 271-2325
- Fax
- (605) 271-2491
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Southeastern Behavioral Healthcare
Capital Area Counseling Service, Inc
Practice addresses (Care Compare)
2000 S Summit Ave
Sioux Falls, SD 57105-2727
Phone (605) 336-0510
2001 Eastgate
Pierre, SD 57501-5691
Phone (605) 224-5811
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 |
|---|---|---|---|---|
| I20191018001286 | SD | Practitioner - Nurse Practitioner | 8325379548 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R034644 | SD | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Behavioral Healthcare | Single Specialty | Current |
Accepting new patients |
| Southeastern Behavioral Healthcare | Past |
Accepting new patients |
Locations
2000 S Summit Ave
Sioux Falls, SD 57105
Phone (605) 336-0503
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse |
163WP0808X | R034644 | SD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP001610 | SD | Yes |
Addresses
Primary practice location
2000 S. Summit Ave
Sioux Falls, SD 57105
Sioux Falls, SD 57105
Mailing address
2000 S Summit Ave
Sioux Falls, SD 57105-2727
Phone (605) 271-2325
Other names
- Holly Sturzenbecher
Other providers in Sioux Falls, SD
- Wais Afzal
- Comfort Agaba
- Agape Home Care LLC
- Chelsey Gayle Ahlers
- Emily Ahlers
- Mary Ahmadi
- Abdalah Eltayeb Mahmoud Ahmed
- Mamoon Ahmed
- Mishka Ahmed
- Mohammad Ahmed
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 Aug 7, 2019. 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.