Jamie Larae Andrews, NP
Individual provider Active NPI Nurse Practitioner · Sioux Falls, SD
NPI 1457074304 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1457074304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CP002526 (SD)
- Practice address
- 1305 W 18TH St
Sioux Falls, SD 57105-0401 - Phone
- (605) 312-7300
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sanford Health Network
Sanford Medical Center
Practice addresses (Care Compare)
1015 3Rd Ave SE
Aberdeen, SD 57401-5418
Phone (605) 725-1700
1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300
3015 3Rd Ave SE
Aberdeen, SD 57401-5418
Phone (605) 725-1700
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141
Hospital & facility affiliations
- Sanford Usd Medical Center
- Sanford Medical Center Aberdeen
- Sanford Luverne Medical Center
- Sanford Sheldon Medical Center
- Sanford Worthington Medical 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 |
|---|---|---|---|---|
| I20221215002835 | SD | Practitioner - Nurse Practitioner | 0941679831 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP002526 | SD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Medical Center | Nurse Practitioner | Current |
Accepting new patients |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Health Network | Nurse Practitioner | Current | Accepting new patients |
| Sanford Clinic | Nurse Practitioner | Current | Accepting new patients |
| Sanford Health Network | Past | Accepting new patients |
Locations
300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
2100 Highland Way
Ste K
Mitchell, SD 57301
Phone (605) 996-0400
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP002526 | SD | |
| Nurse Practitioner | 363L00000X | CP002526 | SD | Yes |
Addresses
Primary practice location
1305 W 18TH St
Sioux Falls, SD 57105-0401
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other names
- Jamie Larae Deboer
Other providers in Sioux Falls, SD
- Kati Lynn Andino
- Kent Douglas Andre
- Peter A Andreone
- Dawn Marie Andresen
- Andrew McDade
- Raquel de Leon Anel-Tiangco
- Roberto C Anel
- Anesthesia Physicians LTD
- Anesthesia Providers, Prof. LLC
- Anesthesiology Associates
All providers in Sioux Falls, SD · 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 Nov 8, 2022. 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.