Individual provider Active NPI

Hannah Renae Blankespoor, FNP-C

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1629703665
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A170119 Issued in IA
Practice address
2333 W 57TH St Ste 103
Sioux Falls, SD 57108-5054
Phone
(605) 271-5640
NPI assigned
Jul 22, 2022
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 A170119 IA Primary

Addresses

Primary practice location

2333 W 57TH St Ste 103
Sioux Falls, SD 57108-5054

Mailing address

1925 16TH St
Rock Valley, IA 51247-1118
Phone (712) 578-9978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221101001506 SD Practitioner - Nurse Practitioner 3072980291 Reassigns benefits to 1 organization
I20251218002442 NE Practitioner - Nurse Practitioner 3072980291 Reassigns benefits to 1 organization
I20251218003668 IA Practitioner - Nurse Practitioner 3072980291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 15, 2025 Accepting new patients

Locations

400 E Court Ave
Ste 110
Des Moines, IA 50309

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

319 Coteau St
Pierre, SD 57501
Phone (605) 220-1093

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1629703665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 16TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471118",
            "telephone_number": "712-578-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W 57TH ST STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085054",
            "telephone_number": "605-271-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKESPOOR",
        "first_name": "HANNAH",
        "middle_name": "RENAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A170119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.