Amy Hodge, CNP
Individual provider Active NPI Nurse Practitioner · Rapid City, SD
NPI 1699545871 · NPPES record last updated May 22, 2026
Key facts
- NPI
- 1699545871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CP003091 (SD)
- Practice address
- 2569 Plateau LN
Rapid City, SD 57703-6335 - Phone
- (605) 484-6662
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Rapid City Hospital Inc
Manlove Psychiatric Group PC
Practice addresses (Care Compare)
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109
636 Saint Anne St
Rapid City, SD 57701-4694
Phone (605) 348-8000
Hospital & facility affiliations
- Monument Health Rapid City Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523000929 | SD | Practitioner - Nurse Practitioner | 1052753936 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP003091 | SD | MD | Nurse Practitioner |
| R052165 | SD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Manlove Psychiatric Group, P.C. | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Elevate Minds Psychiatry | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current |
Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000
636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000
3803 W Technology Cir
Sioux Falls, SD 57106
Phone (605) 496-9770
Interoperability endpoints
- manlovegroup.amyhodge@159086.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R052165 | SD | |
| Nurse Practitioner | 363L00000X | CP003091 | SD | Yes |
Addresses
Primary practice location
2569 Plateau LN
Rapid City, SD 57703-6335
Mailing address
2569 Plateau LN
Rapid City, SD 57703-6335
Phone (605) 484-6662
NPI Registry JSON
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1699545871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2569 PLATEAU LN",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577036335",
"telephone_number": "605-484-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2569 PLATEAU LN",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577036335",
"telephone_number": "605-484-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "AMY",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "R052165",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP003091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
- Jayme Hipple
- Lynne Hix
- Ethan Amado Hobert
- Jeff M Hock
- Kirstin Ashley Hockhausen
- Jean M Hoem
- Richard Hoeye
- Reanna Hofeman
- Jordan Hoffman
- Morgan Hoffman
All providers in Rapid City, SD · Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.