NPIMap

Individual provider Active NPI

Brenda Lynn Vandewater

  • Family Nurse Practitioner
  • Hot Springs, SD
National Provider Identifier
1669847067
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001015 Issued in SD
Practice address
1201 Highway 71 S
Hot Springs, SD 57747-8800
Phone
(605) 745-8910
Fax
(605) 745-7654
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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 CP001015 SD Primary

Addresses

Primary practice location

1201 Highway 71 S
Hot Springs, SD 57747-8800

Mailing address

12349 Erskine Rd
Hot Springs, SD 57747-7508
Phone (605) 745-8910

Other names 1

  • Brenda Lynn McClure Former name

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
I20160525001313 SD Practitioner - Nurse Practitioner 7315236775 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis J Ptacek MD PLLCGroup PAC ID 1658725692, 10 clinicians
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Practice addresses (Care Compare)

1620 N 7TH St
Rapid City, SD 57701-0511
Phone (317) 370-2013

216 Anamaria Dr
Rapid City, SD 57701-7366

242 S Chicago St
Hot Springs, SD 57747-2332
Phone (605) 745-4128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001015SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travis J Ptacek MD PLLC CurrentSince Dec 13, 2024 Accepting new patients
Careconnectmd South Dakota PC CurrentSince May 7, 2025 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Oct 16, 2017 Accepting new patients
Southern Hills Family Medicine, Prof LLC CurrentSince Sep 1, 2023 Accepting new patients
Springs Hometown Healthcare Family CurrentSince Mar 1, 2024 Accepting new patients
Rapid City Emergency Services PA Family CurrentSince Mar 10, 2020 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Oct 16, 2017 Accepting new patients
Black Hills Surgical Hospital, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1369 Montgomery St
Custer, SD 57730
Phone (605) 673-3900

1201 Highway 71 S
Hot Springs, SD 57747
Phone (605) 745-3159

242 S Chicago St
Hot Springs, SD 57747
Phone (605) 745-4128

1620 N 7th St
Rapid City, SD 57701
Phone (605) 343-4958

1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

2500 Arrowhead Dr
Rapid City, SD 57702
Phone (317) 370-2013

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1669847067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12349 ERSKINE RD",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577477508",
            "telephone_number": "605-745-8910",
            "fax_number": "605-745-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 71 S",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577478800",
            "telephone_number": "605-745-8910",
            "fax_number": "605-745-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWATER",
        "first_name": "BRENDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "MCCLURE",
            "middle_name": "LYNN",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hot Springs, SD

Sources for this page

Verify at the official NPI Registry.