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AMANDA JO DVANAJSCAK FNP-C
NPI 1174279970
Nurse Practitioner in Sioux Falls, SD

Active since March 01, 2022PECOS Enrolled
1200 N WEST AVE, SIOUX FALLS, SD 57104(605) 339-0420 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2023, Mar 1, 2022 (2 updates tracked since 2022).

About Amanda Jo Dvanajscak Fnp-c NPPES

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

AMANDA JO DVANAJSCAK FNP-C (NPI 1174279970) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP002320) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174279970
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA JO DVANAJSCAKCredential: FNP-C
Location Address1200 N WEST AVESioux Falls, SD 57104-1335
Mailing Address1200 N West AveSioux Falls, SD 57104-1335 · (605) 339-0420
Phone(605) 339-0420
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 1, 2022
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1174279970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP002320
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP002320 (SD)
1200 N WEST AVE, Sioux Falls, SD 57104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Jo Dvanajscak Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577950393
PECOS Enrollment IDI20221229001184
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 Amanda Dvanajscak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Dakota Urban Indian Health, Inc. Sduih
Same address
Federally Qualified Health Center (FQHC)
1200 N WEST AVE
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 8 clinicians in this Medicare group
NPI 1952473233 (605) 339-0420
Flandreau Santee Sioux Tribe
32 mi
Adult Day Care
403 W BROAD AVE
Flandreau, SD 57028
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
NPI 1437188729 (605) 997-2642

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

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux 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.

Other Providers at the Same Location NPPES 8

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

MEGAN REGINA WEXLER MSW
Social Worker (Clinical)
1200 N WEST AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0420
KANDRA TEMPLETON
Social Worker
1200 N WEST AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0420
KENDALL MARIE HILL LPC, ACT
Counselor (Professional)
1200 N WEST AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0420
SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Community Health Worker
1200 N WEST AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0420
WYATT LAWRENCE URLACHER LCSW-PIP
Social Worker (Clinical)
1200 N WEST AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0420
SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Clinic/Center (Federally Qualified Health Center (FQHC))
1200 N WEST AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0420
RORY FOREST
Family Medicine
1200 N WEST AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0240
SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Clinic/Center (Federally Qualified Health Center (FQHC))
1200 N WEST AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0420

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 Dvanajscak's NPI number?

The NPI number for Amanda Dvanajscak is 1174279970. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Amanda Dvanajscak located?

Amanda Dvanajscak practices at 1200 N West Ave, Sioux Falls, SD 57104. The listed phone number is (605) 339-0420.

What is Amanda Dvanajscak's specialty?

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

Is Amanda Dvanajscak enrolled in Medicare?

Yes. Amanda Dvanajscak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Dvanajscak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dvanajscak reassigns Medicare benefits to 2 organizations: South Dakota Urban Indian Health, Inc. Sduih (Sioux Falls, SD) and Flandreau Santee Sioux Tribe (Flandreau, 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 Amanda Dvanajscak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Dvanajscak accept?

Health plans from Sanford Health Plan and Wellmark of South Dakota, Inc. list Amanda Dvanajscak 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 Dvanajscak affiliated with any hospitals?

According to CMS data, Amanda Dvanajscak is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Amanda Dvanajscak was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.