Active NPI
Leah Hudelson, CNP
- Family Nurse Practitioner
- Dakota Dunes, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP003252
- Practice address
- 575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312 - Phone
- (605) 217-2667
- NPI assigned
- Jun 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R040253 | SD | |
| Family Nurse Practitioner | 363LF0000X | A180970 | IA | |
| Family Nurse Practitioner | 363LF0000X | CP003252 | SD | Primary |
Addresses
Primary practice location
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Mailing address
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
Other names 1
- Leah Conover
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E 4TH St
Suite 202
South Sioux City, NE 68776-9928
Phone (605) 217-2667
2735 Outer Dr N
Cnos Northside
Sioux City, IA 51104-1590
Phone (712) 224-5692
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP003252 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cnos PC | Current | Accepting new patients | |
| Cnos, PC | Current | Accepting new patients |
Locations
5708 Sunnybrook Ct
Sioux City, IA 51106
2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692
201 E 4th St
Ste 202
South Sioux City, NE 68776
1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800
575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615
Interoperability endpoints
- leahhudelson@cnos.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- South Sioux City, NE
- NPI 1750047304
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Storm Lake, IA
- NPI 1134191653
-
- Critical Access Hospital
- Sac City, IA
- NPI 1144378621
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
- Critical Access Hospital
- Orange City, IA
- NPI 1700856796
-
- Critical Access Hospital
- Primghar, IA
- NPI 1689640500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1386489516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667",
"fax_number": "605-217-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDELSON",
"first_name": "LEAH",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-28",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R040253",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A180970",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP003252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "CONOVER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.