Individual provider Active NPI

Anasara Henry, DNP, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1639694532
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
H123464 Issued in IA
Practice address
4500 N Lewis Ave
Sioux Falls, SD 57104-7111
Phone
(605) 322-4669
NPI assigned
Aug 11, 2017
Last updated
Sep 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X H123464 IA Primary

Addresses

Primary practice location

4500 N Lewis Ave
Sioux Falls, SD 57104-7111

Mailing address

25124 170TH St
Le Mars, IA 51031-8631
Phone (712) 333-5127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210528000920 IA Practitioner - Nurse Practitioner 5991061780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Iowa, RJ & L Carver College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

801 5TH St
Sioux City, IA 51101-1326

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H123464IAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Aug 1, 2025 Accepting new patients
Siouxland Community Health Center CurrentSince Apr 13, 2026 Accepting new patients

Locations

1021 Nebraska St
Sioux City, IA 51105
Phone (712) 252-2477

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

Interoperability endpoints

  • Direct secure messaging: ahenry160113@direct.unitypoint.org
  • Direct secure messaging: ahenry642823@direct.ochin.org
  • Direct secure messaging: anasara.henry@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1639694532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 170TH ST",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510318631",
            "telephone_number": "712-333-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N LEWIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571047111",
            "telephone_number": "605-322-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ANASARA",
        "credential": "DNP, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H123464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.