Active NPI
Alyssa Beth Anderson, NP-C
- Family Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1952659906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP000734
- Practice address
- 1000 E 23Rd St Ste 230
Sioux Falls, SD 57105-2122 - Phone
- (605) 322-6900
- Fax
- (605) 322-6901
- NPI assigned
- Aug 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000734 | SD | Primary |
Addresses
Primary practice location
1000 E 23Rd St Ste 230
Sioux Falls, SD 57105-2122
Mailing address
209 E Tabor CT
Brandon, SD 57005-1081
Phone (605) 321-9785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6838340 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E 23Rd St
Sioux Falls, SD 57105-2122
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000734 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236
1417 S Cliff Ave
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-8630
1000 E 23rd St
Ste 230
Sioux Falls, SD 57105
Phone (605) 322-6900
1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Hematology & Oncology Physician
- Sioux Falls, SD
- NPI 1033185582
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952659906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E TABOR CT",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051081",
"telephone_number": "605-321-9785",
"fax_number": "605-322-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 23RD ST STE 230",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052122",
"telephone_number": "605-322-6900",
"fax_number": "605-322-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ALYSSA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6838340",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.