NPIMap

Individual provider Active NPI

Courtney Weber, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1720554322
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001481 Issued in SD
Practice address
1301 S Cliff Ave Ste 610
Sioux Falls, SD 57105-1032
Phone
(605) 322-8860
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001481 SD Primary

Addresses

Primary practice location

1301 S Cliff Ave Ste 610
Sioux Falls, SD 57105-1032

Mailing address

5540 S Wexford CT
Sioux Falls, SD 57106-7800
Phone (605) 360-1645

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
I20181218004186 SD Practitioner - Nurse Practitioner 8325383474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Vital Care, LLCGroup PAC ID 2769885920, 11 clinicians

Practice addresses (Care Compare)

1301 S Cliff Ave
Suite 610
Sioux Falls, SD 57105-1032
Phone (605) 322-8860

7600 S Minnesota Ave
Sioux Falls, SD 57108-2985
Phone (605) 444-8860

910 E 20TH St
Sioux Falls, SD 57105-1012
Phone (605) 334-6730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001481SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Falls Specialty Hospital, LLP CurrentSince May 1, 2024 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince May 1, 2024 Accepting new patients
Vital Care, LLC CurrentSince Sep 1, 2024 Accepting new patients
Avera McKennan CurrentSince Nov 19, 2018 Accepting new patients
Avera McKennan CurrentSince Nov 19, 2018 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients

Locations

7600 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 444-8860

1301 S Cliff Ave
Ste 610
Sioux Falls, SD 57105
Phone (605) 322-8860

4928 N Cliff Ave
Sioux Falls, SD 57104
Phone (605) 444-8820

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

Interoperability endpoints

  • Direct secure messaging: courtney.weber@avera.sdhealthlink.net

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 and National Provider Directory roles.

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1720554322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 S WEXFORD CT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571067800",
            "telephone_number": "605-360-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 610",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051032",
            "telephone_number": "605-322-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "COURTNEY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.