Individual provider Active NPI

Jessica Y Norder, CNP

  • Family Nurse Practitioner
  • McLaughlin, SD
National Provider Identifier
1508830274
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R032835 Issued in SD
Practice address
103 1St Avenue East
MC Laughlin, SD 57642
Phone
(605) 823-4253
NPI assigned
Feb 17, 2006
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14-100084-051 KS
Family Nurse Practitioner 363LF0000X R032835 SD Primary

Addresses

Primary practice location

103 1St Avenue East
MC Laughlin, SD 57642

Mailing address

1309 10TH Ave W
Mobridge, SD 57601-1146
Phone (605) 845-3692

Other identifiers 6

IdentifierTypeStateIssuer
14-100084-051OtherKSKANSAS ST BD OF NURSING
41413OtherMED B
0381OtherSDSD BOARD OF NURSING CNP
S102204OtherPTAN
ARNPOther46009
R032835OtherSDSD BOARD OF NURSING RN

Other names 1

  • Jessica Y Greenleaf Other name

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
I20040928000364 SD Practitioner - Nurse Practitioner 0042289910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Mobridge Regional HospitalGroup PAC ID 6507776135, 20 clinicians

Practice addresses (Care Compare)

1309 10TH Ave W
Mobridge, SD 57601-1146
Phone (605) 845-3692

1401 10TH Ave W
Mobridge, SD 57601-1106

PO Box
Suite 580
Mobridge, SD 57601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.65 of 100Reported as group
Quality
51.66
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14-100084-051KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobridge Regional Hospital CurrentSince Jan 2, 2008 Accepting new patients
Mobridge Regional Hospital CurrentSince Jan 2, 2008 Accepting new patients
Mobridge Regional Hospital Current Accepting new patients
Mobridge Regional Hospital CurrentSince Dec 10, 2025 Accepting new patients
Mobridge Regional Hospital Past Accepting new patients

Locations

1309 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

1401 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/

Organizations & group practices 5

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 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1508830274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011146",
            "telephone_number": "605-845-3692",
            "fax_number": "605-845-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 1ST AVENUE EAST",
            "city": "MC LAUGHLIN",
            "state": "SD",
            "postal_code": "57642",
            "telephone_number": "605-823-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDER",
        "first_name": "JESSICA",
        "middle_name": "Y",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "14-100084-051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "R032835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS ST BD OF NURSING",
            "identifier": "14-100084-051",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED B",
            "identifier": "41413",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BOARD OF NURSING CNP",
            "identifier": "0381",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "S102204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "46009",
            "identifier": "ARNP",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BOARD OF NURSING RN",
            "identifier": "R032835",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GREENLEAF",
            "middle_name": "Y",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McLaughlin, SD

Sources for this page

Verify at the official NPI Registry.