Individual provider Active NPI

Hannah Otten, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1609494483
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP001773 Issued in SD
Practice address
4400 W 69TH St
Sioux Falls, SD 57108-8170
Phone
(605) 322-8000
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP001773 SD Primary

Addresses

Primary practice location

4400 W 69TH St
Sioux Falls, SD 57108-8170

Mailing address

3012 W 90TH St
Sioux Falls, SD 57108-6433
Phone (605) 759-6041

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
I20201009002138 SD Practitioner - Nurse Practitioner 9537589619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Wellness CollectiveGroup PAC ID 1951722834, 9 clinicians

Practice addresses (Care Compare)

2333 W 57TH St
Suite 103
Sioux Falls, SD 57108-5054
Phone (605) 271-5640

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Collective LLC CurrentSince Aug 1, 2025 Accepting new patients
Avera McKennan CurrentSince Sep 6, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Sep 6, 2020 Accepting new patients

Locations

4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700

4400 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-4005

2333 W 57th St
Ste 103
Sioux Falls, SD 57108
Phone (605) 271-5640

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1609494483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 W 90TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086433",
            "telephone_number": "605-759-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088170",
            "telephone_number": "605-322-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "HANNAH",
        "credential": "PHMNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP001773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.