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NICOLE LYNN BAMBERG CNP
NPI 1043702244
Nurse Practitioner in Fort Thompson, SD

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment
PO BOX 200, FORT THOMPSON, SD 57339(605) 245-1546(605) 245-2600 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Lynn Bamberg Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LYNN BAMBERG CNP (NPI 1043702244) is an individual nurse practitioner in Fort Thompson, South Dakota, licensed in South Dakota (CP001381) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043702244
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE LYNN BAMBERGCredential: CNP
Location AddressPO BOX 200Fort Thompson, SD 57339-0200
Mailing AddressPo Box 200Fort Thompson, SD 57339-0200 · (605) 245-1546 · Fax (605) 245-2600
Phone(605) 245-1546
Fax(605) 245-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1043702244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP001381
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
PO BOX 200, Fort Thompson, SD 57339
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Lynn Bamberg Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012265952
PECOS Enrollment IDI20200220001792
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Bamberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fort Thompson Indian Health Service
1.9 mi
Clinic/Center
HWY 34 & 47
Fort Thompson, SD 57339
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1710995907 (605) 245-1500
Douglas County Memorial Hospital
66 mi
Rural Health
265 E MAIN STREET
Corsica, SD 57328
  • Reassigned Medicare billing, South Dakota enrollment
  • 11 clinicians in this Medicare group
NPI 1003879958 (605) 946-5959

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER DAWN HILL CNP
Family Medicine
PO BOX 200
FORT THOMPSON, SD 57339
Buffalo County (605) 245-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Bamberg's NPI number?

The NPI number for Nicole Bamberg is 1043702244. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Nicole Bamberg located?

Nicole Bamberg practices at PO Box 200, Fort Thompson, SD 57339. The listed phone number is (605) 245-1546.

What is Nicole Bamberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Bamberg enrolled in Medicare?

Yes. Nicole Bamberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Bamberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bamberg reassigns Medicare benefits to 2 organizations: Fort Thompson Indian Health Service (Fort Thompson, SD) and Douglas County Memorial Hospital (Corsica, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Bamberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Bamberg was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.