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Individual provider Active NPI

Theresa Michelle Newcomb, APRN-NP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1962939231
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001728 Issued in SD
Practice address
2601 S Ellis Rd
Sioux Falls, SD 57106-7067
Phone
(605) 332-2883
Fax
(605) 323-8283
NPI assigned
May 17, 2017
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 112207 NE
Family Nurse Practitioner 363LF0000X CP001728 SD Primary

Addresses

Primary practice location

2601 S Ellis Rd
Sioux Falls, SD 57106-7067

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507002096 SD Practitioner - Nurse Practitioner 9537434477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

108 S Main St
Lennox, SD 57039-2096
Phone (605) 647-2841

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

2601 S Ellis Rd
Sioux Falls, SD 57106-7067
Phone (605) 332-2883

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

6110 S Minnesota Ave
Sioux Falls, SD 57108-2549
Phone (605) 328-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jun 11, 2023 Accepting new patients
Sanford Medical Center CurrentSince Sep 23, 2024 Accepting new patients
Sanford Clinic CurrentSince Sep 23, 2024 Accepting new patients
Sanford Clinic CurrentSince Sep 23, 2024 Accepting new patients
Sanford Clinic Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Jun 11, 2023 Accepting new patients
Sanford Clinic Past Accepting new patients
Sanford Clinic Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

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

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

2601 S Ellis Rd
Sioux Falls, SD 57106
Phone (605) 312-3000

3932 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-6408

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Organizations & group practices 10

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

Hospital & facility affiliations 3

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1962939231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S ELLIS RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571067067",
            "telephone_number": "605-332-2883",
            "fax_number": "605-323-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "THERESA",
        "middle_name": "MICHELLE",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112207",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.