NPIMap

Individual provider Active NPI

Nichole Johnson

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1699163253
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP000889 Issued in SD
Practice address
2400 W 49TH St
Sioux Falls, SD 57105-6581
Phone
(605) 312-8700
Fax
(605) 312-8701
NPI assigned
Jan 6, 2015
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP000889 SD Primary

Addresses

Primary practice location

2400 W 49TH St
Sioux Falls, SD 57105-6581

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 312-8700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nfoos6033142@direct.sanfordhealth.org Direct

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
I20150220000633 SD Practitioner - Nurse Practitioner 5193040806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2100

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 328-8700

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

2400 W 49TH St
Sioux Falls, SD 57105-6581
Phone (605) 312-8700

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
67.98
Promoting interoperability
100
Improvement activities
40
Cost
72.45

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000889SDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Sep 30, 2015 Accepting new patients
Sanford Medical Center CurrentSince Nov 18, 2019 Accepting new patients
Sanford Clinic CurrentSince Jan 26, 2015 Accepting new patients
Sanford Clinic Psychiatric/Mental Health Current Accepting new patients
Sanford Health Network CurrentSince Sep 30, 2015 Accepting new patients
Sanford Clinic CurrentSince Jan 26, 2015 Accepting new patients

Locations

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

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

2400 W 49th St
Sioux Falls, SD 57105
Phone (605) 312-8700

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

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

Interoperability endpoints

  • Direct secure messaging: nfoos6033142@direct.sanfordhealth.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 5

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1699163253",
    "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": "605-312-8700",
            "fax_number": "605-312-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 49TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056581",
            "telephone_number": "605-312-8700",
            "fax_number": "605-312-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP000889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfoos6033142@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2400 W 49th St",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571056581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.