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Individual provider Active NPI

Carrie Ann Ensz

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1538873302
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002637 Issued in SD
Practice address
1000 E 23Rd St Ste 100
Sioux Falls, SD 57105-2114
Phone
(605) 322-1625
Fax
(605) 322-1626
NPI assigned
Jan 6, 2023
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP002637 SD Primary

Addresses

Primary practice location

1000 E 23Rd St Ste 100
Sioux Falls, SD 57105-2114

Mailing address

822 W 12TH St
Sioux Falls, SD 57104-4218
Phone (605) 351-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230228001245 SD Practitioner - Nurse Practitioner 2567835267 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2114

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP002637SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 8, 2023 Accepting new patients
Avera St Marys CurrentSince Oct 1, 2023 Accepting new patients
Avera St. Luke's Current Accepting new patients
Avera St. Lukes CurrentSince Oct 1, 2023 Accepting new patients
Avera McKennan CurrentSince Jan 8, 2023 Accepting new patients
Avera St Marys Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera St Lukes CurrentSince Oct 1, 2023 Accepting new patients
Avera St. Mary's CurrentSince Oct 1, 2023 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera McKennan Family Past Accepting new patients

Locations

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

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 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1538873302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W 12TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044218",
            "telephone_number": "605-351-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052114",
            "telephone_number": "605-322-1625",
            "fax_number": "605-322-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSZ",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.