Amy S Juracek, CNP
Individual provider Active NPI Family Nurse Practitioner · Burke, SD
NPI 1790732600 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1790732600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CP000467 (SD)
- Practice address
- 809 Jackson St
Burke, SD 57523-2065 - Phone
- (605) 775-2631
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Memorial Hospital Inc
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
- Avera @ Home
- Community Memorial Hospital
- Sanford Usd Medical Center
- Avera Gregory Hospital
- Community Memorial Hospital
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 |
|---|---|---|---|---|
| I20060710000132 | SD | Practitioner - Nurse Practitioner | 6901819101 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000467 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current |
Accepting new patients | |
| Platte Community Memorial Hospital Inc. | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Douglas County Memorial Hospital | Current | Accepting new patients | |
| Platte Community Memorial Hospital Inc | Current | Accepting new patients | |
| Community Memorial Hospital, Inc | Current |
Accepting new patients | |
| Community Memorial Hospital, Inc | Current | Accepting new patients | |
| Douglas County Memorial Hospital | Current |
Accepting new patients | |
| Community Memorial Hospital, Inc | Current |
Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Douglas County Memorial Hospital | Current |
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 | |
| Platte Community Memorial Hospital, 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
Ste 3
Platte, SD 57369
Phone (605) 337-2633
601 E 7th St
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000467 | SD | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0851370001 | Other | DME | |
| 6829160 | Medicaid | SD |
Other names
- Amy S Witt
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lynne.bentz@cmhburke.org |
Other providers in Burke, SD
- Community Memorial Hospital, Inc
- Community Memorial Hospital, Inc
- Community Memorial Hospital, Inc
- Dulce Lorraine Frank
- Vladik Johnson
- Brittney Michele Korthals
- Debra K Leibel
- Natasha Rae Martin
- Sanford Healthcare Accessories, LLC
- Megan M Smith
All providers in Burke, SD · Family 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 25, 2022. 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.