Andrew Jacob Murtha, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Sioux Falls, SD
NPI 1780134023 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1780134023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- CP001153 (SD)
- Practice address
- 1301 S Cliff Ave
Sioux Falls, SD 57105-1005 - Phone
- (605) 322-5750
- NPI assigned
- Oct 11, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1301 S Cliff Ave
Suite 400
Sioux Falls, SD 57105-1023
Phone (605) 322-5750
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
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 |
|---|---|---|---|---|
| I20161209001549 | SD | Practitioner - Nurse Practitioner | 7517247455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP001153 | SD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
4400 W 69th St
Ste 3100
Sioux Falls, SD 57108
Phone (605) 504-3522
1301 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-7187
1301 S Cliff Ave
Ste 400
Sioux Falls, SD 57105
Phone (605) 322-5750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CP001153 | SD | Yes |
Addresses
Primary practice location
1301 S Cliff Ave
Sioux Falls, SD 57105-1005
Mailing address
4105 S Palisade LN
Sioux Falls, SD 57106-1621
Phone (605) 201-1916
Other providers in Sioux Falls, SD
- Robin R Murphy
- Emily Murray
- Heather L Murray
- Jeffrey A Murray
- Erin Murtha-Berg
- Bonnie Ruth Murtha
- Sarah Mae Murtha
- Hussnain Mushtaq
- Music Therapy Services of South Dakota, LLC
- Una Musinovic
All providers in Sioux Falls, SD · Adult Health 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 Oct 11, 2016. 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.