NPIMap

Individual provider Active NPI

Amy Hodge, CNP

  • Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1699545871
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP003091 Issued in SD
Practice address
2569 Plateau LN
Rapid City, SD 57703-6335
Phone
(605) 484-6662
NPI assigned
Jan 8, 2024
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R052165 SD
Nurse Practitioner 363L00000X CP003091 SD Primary

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

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
I20240523000929 SD Practitioner - Nurse Practitioner 1052753936 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manlove Psychiatric Group PCGroup PAC ID 8921098138, 11 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Minds Psychiatry CurrentSince Dec 11, 2025 Accepting new patients
Manlove Psychiatric Group, P.C. CurrentSince Mar 10, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jul 15, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jul 15, 2025 Accepting new patients

Locations

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

636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000

636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000

3803 W Technology Cir
Sioux Falls, SD 57106
Phone (605) 496-9770

Interoperability endpoints

  • Direct secure messaging: manlovegroup.amyhodge@159086.advancedmd-direct.com

Organizations & group practices 5

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 12

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": "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

Sources for this page

Verify at the official NPI Registry.