NPIMap

Individual provider Active NPI

Andrew Arnold Davies, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1619488640
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP001290 Issued in SD
Practice address
4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone
(605) 977-7000
NPI assigned
Oct 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP001290 SD Primary

Addresses

Primary practice location

4500 W 69TH St
Sioux Falls, SD 57108-8148

Mailing address

4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-7000

Other identifiers 2

IdentifierTypeStateIssuer
R040494OtherSDSD BOARD OF NURSING
CP001290OtherSDSD BOARD OF NURSING

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
I20190424002188 SD Practitioner - Nurse Practitioner 6406198399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists CharteredGroup PAC ID 9234031329, 47 clinicians

Practice addresses (Care Compare)

201 W 69TH St
Sioux Falls, SD 57108-2403
Phone (605) 336-0635

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001290SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Hospital of South Dakota LLC CurrentSince Jan 1, 2019 Accepting new patients
Urology Specialists Chartered CurrentSince May 15, 2023 Accepting new patients
Heart Hospital of South Dakota LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

201 W 69th St
Sioux Falls, SD 57108
Phone (605) 336-0635

4500 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-7000

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

Interoperability endpoints

  • Direct secure messaging: andrew.davies.p1@direct.urologyspecialists.nextgenshare.com
  • Direct secure messaging: andrew.davies@avera.sdhealthlink.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1619488640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088148",
            "telephone_number": "605-977-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088148",
            "telephone_number": "605-977-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ANDREW",
        "middle_name": "ARNOLD",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BOARD OF NURSING",
            "identifier": "R040494",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BOARD OF NURSING",
            "identifier": "CP001290",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.