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AMY ANN NEWSTROM CNP
NPI 1194030007
Nurse Practitioner - Psychiatric/Mental Health in Rapid City, SD

Active since August 16, 2010PECOS Enrolled
3939 CANYON LAKE DR, RAPID CITY, SD 57702(605) 716-3555(605) 413-1143 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2026, Dec 5, 2018 (2 updates tracked since 2018).

About Amy Ann Newstrom Cnp NPPES

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

AMY ANN NEWSTROM CNP (NPI 1194030007) is an individual psychiatric/mental health provider in Rapid City, South Dakota, licensed in South Dakota (CP000608) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194030007
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMY ANN NEWSTROMCredential: CNP
Location Address3939 CANYON LAKE DRRapid City, SD 57702-0827
Mailing Address3939 Canyon Lake DrRapid City, SD 57702-0827 · (605) 716-3555 · Fax (605) 413-1143
Phone(605) 716-3555
Fax(605) 413-1143
Sole ProprietorNo
Enumeration DateAugust 16, 2010
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1194030007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SD · CP000608
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP000608 (SD)
3939 CANYON LAKE DR, Rapid City, SD 57702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford 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 (PECOS)

Amy Ann Newstrom Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 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.

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 Amy Newstrom's NPI number?

The NPI number for Amy Newstrom is 1194030007. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Amy Newstrom located?

Amy Newstrom practices at 3939 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 716-3555.

What is Amy Newstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amy Newstrom enrolled in Medicare?

Yes. Amy Newstrom is registered in the Medicare PECOS enrollment system.

What insurance does Amy Newstrom accept?

Health plans from Avera Health Plans and Sanford Health Plan list Amy Newstrom 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.

When was this NPI record last updated?

The NPPES record for Amy Newstrom was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.