Judi L Anderson, CNP
Individual provider Active NPI Family Nurse Practitioner · Lake Norden, SD
NPI 1801875265 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1801875265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R031664 (SD)
- Practice address
- 512 Main Ave
Lake Norden, SD 57248-0079 - Phone
- (605) 785-3633
- Fax
- (605) 785-3946
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
305 Hospital Dr
Estelline, SD 57234-0196
Phone (605) 902-7190
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
901 4TH St NW
Watertown, SD 57201-1558
Phone (605) 886-8471
922 22ND Ave S
Brookings, SD 57006-2830
Phone (605) 697-1900
Hospital & facility affiliations
- Prairie Lakes Healthcare System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
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 |
|---|---|---|---|---|
| I20050310001048 | SD | Practitioner - Nurse Practitioner | 0840244919 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| American Advanced Practice Network, P.C. | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Medical Center | Current |
Accepting new patients |
Locations
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
2355 Dakota Ave S
Huron, SD 57350
Phone (605) 554-2273
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800
901 4th St NW
Watertown, SD 57201
Phone (605) 882-8780
1056 29th St SE
Watertown, SD 57201
Phone (605) 214-5762
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R031664 | SD | Yes |
Addresses
Primary practice location
512 Main Ave
Lake Norden, SD 57248-0079
Mailing address
PO Box 79
Lake Norden, SD 57248-0079
Phone (605) 785-3633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5300462 | Medicaid | SD |
Other providers in Lake Norden, SD
- Jerad Robert Bludorn
- Rebekah Grace Eide
- Natalie Anita Garza
- Homestead Assisted Living. LLC
- Homestead Day Services, LLC
All providers in Lake Norden, 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 May 8, 2008. 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.