Individual provider Active NPI

Amanda L Anderson, CNP

  • Family Nurse Practitioner
  • Vermillion, SD
National Provider Identifier
1699056069
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000647 Issued in SD
Practice address
20 S Plum St
Vermillion, SD 57069-3346
Phone
(605) 677-3700
NPI assigned
Aug 30, 2011
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112553 NE
Family Nurse Practitioner 363LF0000X A133720 IA
Family Nurse Practitioner 363LF0000X CP000647 SD Primary

Addresses

Primary practice location

20 S Plum St
Vermillion, SD 57069-3346

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419

Other practice location 1

345 W Steamboat Dr Ste 601
Dakota Dunes, SD 57049-5287
Phone (605) 217-5617

Other practice location 2

1414 N 13th St
Norfolk, NE 68701-2669
Phone (605) 217-5617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA, KS, MO4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20111004000011 SD Practitioner - Nurse Practitioner 8426220021 Reassigns benefits to 4 organizations
I20130816000378 IA Practitioner - Nurse Practitioner 8426220021 Reassigns benefits to 1 organization
I20240604001448 KS Practitioner - Nurse Practitioner 8426220021 Reassigns benefits to 1 organization
I20240625000186 MO Practitioner - Nurse Practitioner 8426220021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Vascular and Interventional Radiology of SiouxlandGroup PAC ID 7113330663, 24 clinicians

Practice addresses (Care Compare)

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-9111

345 W Steamboat Dr
Suite 601
Dakota Dunes, SD 57049-5287
Phone (605) 217-5617

800 Mercy Dr
Suite 110
Council Bluffs, IA 51503-3128
Phone (531) 466-4260

801 5TH St
Sioux City, IA 51101-1326
Phone (605) 217-5617

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics and Sports Medicine CurrentSince Jun 1, 2024 Accepting new patients
Sanford Health Network CurrentSince Dec 15, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Sage Medical Prof LLC CurrentSince Aug 1, 2018 Accepting new patients
Advanced Orthopedics and Sports Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020

505 S Hospital Dr
Paola, KS 66071
Phone (913) 232-9846

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118

345 W Steamboat Dr
Ste 701
North Sioux City, SD 57049
Phone (319) 430-9340

201 Anamaria Dr
Rapid City, SD 57701
Phone (605) 217-5611

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: aanderson631945@direct.unitypoint.org

Organizations & group practices 7

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 3

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1699056069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PLUM ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693346",
            "telephone_number": "605-677-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 W Steamboat Dr Ste 601",
            "address_purpose": "LOCATION",
            "city": "Dakota Dunes",
            "state": "SD",
            "postal_code": "570495287",
            "country_code": "US",
            "telephone_number": "605-217-5617",
            "fax_number": "605-217-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687012669",
            "country_code": "US",
            "telephone_number": "605-217-5617",
            "fax_number": "605-217-5533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112553",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A133720",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

Verify at the official NPI Registry.