Individual provider Active NPI

Arica Nickles

  • Family Nurse Practitioner
  • Huron, SD
National Provider Identifier
1942618459
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A137585 Issued in IA
Practice address
33 3Rd St SE Ste 201
Huron, SD 57350-2064
Phone
(605) 554-0858
Fax
(605) 610-4063
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SD-CNPCP000875 SD
Family Nurse Practitioner 363LF0000X A137585 IA Primary

Addresses

Primary practice location

33 3Rd St SE Ste 201
Huron, SD 57350-2064

Mailing address

613 E 17TH St
Yankton, SD 57078-2309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140911001111 IA Practitioner - Nurse Practitioner 6204055924 Reassigns benefits to 2 organizations
I20141120002719 SD Practitioner - Nurse Practitioner 6204055924 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians

Practice addresses (Care Compare)

1000 W 4TH St
Suite 8
Yankton, SD 57078-3700

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137585IAMDFamily Nurse Practitioner
SD-CNPCP000875SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services Current Accepting new patients
Avera Queen of Peace CurrentSince Oct 1, 2014 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Woodbury Emergency Group, PC CurrentSince Oct 14, 2022 Accepting new patients
Sacred Heart Health Services CurrentSince Nov 1, 2014 Accepting new patients
Rural Health Care, Inc CurrentSince Dec 1, 2019 Accepting new patients
Avera Queen of Peace CurrentSince Oct 1, 2014 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Avera Queen of Peace Current Accepting new patients
Sacred Heart Health Services CurrentSince Nov 1, 2014 Accepting new patients
Rural Health Care, Inc CurrentSince Dec 1, 2019 Accepting new patients

Locations

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

1900 Grassland Dr
Ste 103
Mitchell, SD 57301
Phone (605) 995-4900

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1000 W 4th St
Ste 8
Yankton, SD 57078
Phone (605) 655-1201

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Interoperability endpoints

  • Direct secure messaging: anickles215009@direct.unitypoint.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1942618459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 E 17TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 3RD ST SE STE 201",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502064",
            "telephone_number": "605-554-0858",
            "fax_number": "605-610-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLES",
        "first_name": "ARICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "SD-CNPCP000875",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A137585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.