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AMANDA LOUISE FELLBAUM CNP
NPI 1083377584
Nurse Practitioner - Adult Health in Sioux Falls, SD

Active since October 21, 2021PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1112 S LAKE AVENUE SUITE 201, SIOUX FALLS, SD 57104(605) 312-5350(605) 312-8928 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Oct 21, 2021 (2 updates tracked since 2021).

About Amanda Louise Fellbaum Cnp NPPES

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

AMANDA LOUISE FELLBAUM CNP (NPI 1083377584) is an individual adult health provider in Sioux Falls, South Dakota, licensed in South Dakota (CP002165) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083377584
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMANDA LOUISE FELLBAUMCredential: CNP
Location Address1112 S LAKE AVENUE SUITE 201Sioux Falls, SD 57104
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 312-5350 · Fax (605) 312-8928
Phone(605) 312-5350
Fax(605) 312-8928
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2021
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1083377584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in SD · CP002165
1112 S LAKE AVENUE SUITE 201, Sioux Falls, SD 57104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Louise Fellbaum 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 ID9739575036
PECOS Enrollment IDI20220414000967
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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 Amanda Fellbaum's NPI number?

The NPI number for Amanda Fellbaum is 1083377584. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Amanda Fellbaum located?

Amanda Fellbaum practices at 1112 S Lake Avenue Suite 201, Sioux Falls, SD 57104. The listed phone number is (605) 312-5350.

What is Amanda Fellbaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amanda Fellbaum enrolled in Medicare?

Yes. Amanda Fellbaum 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.

What insurance does Amanda Fellbaum accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Amanda Fellbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amanda Fellbaum affiliated with any hospitals?

According to CMS data, Amanda Fellbaum is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Fellbaum was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.