NPIMap

Individual provider Active NPI

Amy S Juracek, CNP

  • Family Nurse Practitioner
  • Burke, SD
National Provider Identifier
1790732600
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000467 Issued in SD
Practice address
809 Jackson St
Burke, SD 57523-2065
Phone
(605) 775-2631
NPI assigned
May 27, 2006
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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 CP000467 SD Primary

Addresses

Primary practice location

809 Jackson St
Burke, SD 57523-2065

Mailing address

814 Jackson St
Burke, SD 57523-0358
Phone (605) 775-2631

Other names 1

  • Amy S Witt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lynne.bentz@cmhburke.org

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
I20060710000132 SD Practitioner - Nurse Practitioner 6901819101 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Hospital IncGroup PAC ID 2163317900, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

314 Mellette St
Bonesteel, SD 57317-2110
Phone (605) 775-2631

809 Jackson St
Burke, SD 57523-2065
Phone (605) 775-2621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000467SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Memorial Hospital CurrentSince Feb 15, 2020 Accepting new patients
Avera McKennan CurrentSince Jul 27, 2013 Accepting new patients
Community Memorial Hospital, Inc Current Accepting new patients
Douglas County Memorial Hospital CurrentSince Feb 15, 2020 Accepting new patients
Platte Community Memorial Hospital Inc Current Accepting new patients
Community Memorial Hospital, Inc CurrentSince Apr 9, 2014 Accepting new patients
Douglas County Memorial Hospital Current Accepting new patients
Platte Community Memorial Hospital Inc. CurrentSince Dec 8, 2014 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Jul 27, 2013 Accepting new patients
Community Memorial Hospital, Inc CurrentSince Jan 1, 2026 Accepting new patients
Platte Community Memorial Hospital, Inc. PastSince Aug 1, 2021 Accepting new patients
Douglas County Memorial Hospital Past Accepting new patients
Platte Community Memorial Hospital Inc Past Accepting new patients
Horizon Health Care, Inc Past Accepting new patients

Locations

708 8th St
Armour, SD 57313
Phone (605) 724-2159

314 Mellette St
Bonesteel, SD 57317
Phone (605) 654-9021

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

265 E Main St
Corsica, SD 57328
Phone (605) 946-5411

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

601 E 7th St
Platte, SD 57369
Phone (605) 337-2633

601 E 7th St
Ste 3
Platte, SD 57369
Phone (605) 337-2633

301 Main St
Stickney, SD 57375
Phone (605) 732-4508

306 S Johnston St
White Lake, SD 57383
Phone (605) 337-1529

Interoperability endpoints

  • Direct secure messaging: lynne.bentz@cmhburke.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1790732600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 JACKSON ST",
            "city": "BURKE",
            "state": "SD",
            "postal_code": "575230358",
            "telephone_number": "605-775-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 JACKSON ST",
            "city": "BURKE",
            "state": "SD",
            "postal_code": "575232065",
            "telephone_number": "605-775-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURACEK",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynne.bentz@cmhburke.org",
            "affiliation": "N",
            "address_1": "809 Jackson St",
            "city": "Burke",
            "state": "SD",
            "country_code": "US",
            "postal_code": "575232065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WITT",
            "middle_name": "S",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burke, SD

Sources for this page

Verify at the official NPI Registry.