John E Erpenbach, CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sioux Falls, SD
NPI 1922071471 · NPPES record last updated Oct 11, 2018
Key facts
- NPI
- 1922071471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 0090 (SD)
- Practice address
- 4400 W 69TH St
Ste 1500
Sioux Falls, SD 57108-8170 - Phone
- (605) 322-5700
- Fax
- (605) 322-5704
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0090 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Behavioral Healthcare | Past |
Accepting new patients | |
| Southeastern Behavioral Healthcare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0090 | SD | Yes |
Addresses
Primary practice location
4400 W 69TH St
Ste 1500
Sioux Falls, SD 57108-8170
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040121002 | Other | MN | PRIMEWEST |
| 370624200 | Other | SD | DEPT OF LABOR |
| 57108C028 | Other | SD | WPS TRICARE |
| P00254384 | Other | SD | RR MEDICARE |
| 46022474352 | Medicaid | NE | |
| 6820314 | Medicaid | SD | |
| 951S2ER | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 12200 | Medicaid | ND | |
| 4995276 | Other | SD | BLUE CROSS |
| 1958108 | Medicaid | IA | |
| 412017500 | Medicaid | MN | |
| 22792 | Other | SD | SANFORD HEALTH PLAN |
| 10630 | Other | SD | MIDLANDS CHOICE |
| 412991028084 | Other | SD | PREFERRED ONE |
| 848663 | Other | SD | ARAZ/ AMERICA'S PPO |
| 9214778 | Other | SD | DAKOTACARE |
| HP24883 | Other | SD | HEALTHPARTNERS |
Other providers in Sioux Falls, SD
- Julie Anne Ermer
- Maren Patricia Ernst
- Peyton Ernst
- William Ernst
- Abby Ernster
- Kyah Michelle Escobin
- Nicole Marie Escobin
- Brooke R Espicha
- Todd A Espicha
- Justin L Espland
All providers in Sioux Falls, SD · Psychiatric/Mental 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, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.