Individual provider Active NPI

Taylor Gwen Roberts, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1700576501
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP002779 Issued in SD
Practice address
3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864
Phone
(605) 460-6773
Fax
(605) 741-4635
NPI assigned
May 15, 2023
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 CP002779 SD Primary

Addresses

Primary practice location

3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864

Mailing address

3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240612001267 SD Practitioner - Nurse Practitioner 6709328271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3100 S Walts Ave
Sioux Falls, SD 57105-5558

3500 S Phillips Ave
Suite 100
Sioux Falls, SD 57105-6864

5013 S Louise Ave
Sioux Falls, SD 57108-2268

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Minds Psychiatry Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Wild Within, PLLC Psychiatric/Mental Health Current Accepting new patients
Silver Lining Integrative Psychiatry CurrentSince May 15, 2024 Accepting new patients

Locations

3500 S Phillips Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 215-5081

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

5013 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 215-5209

510 S Valley View Rd
Sioux Falls, SD 57106
Phone (605) 558-0107

510 S Valley View Rd
Ste 2
Sioux Falls, SD 57106
Phone (605) 558-0107

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1700576501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S PHILLIPS AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056864",
            "fax_number": "605-741-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S PHILLIPS AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056864",
            "telephone_number": "605-460-6773",
            "fax_number": "605-741-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TAYLOR",
        "middle_name": "GWEN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP002779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.