JESSICA M VANDERHAM CNP
NPI 1285143891
Nurse Practitioner - Family in Wagner, SD

Q: What is Jessica Vanderham's NPI number?

The NPI number for Jessica Vanderham is 1285143891. It was assigned to this individual provider in the NPPES registry on September 26, 2017. The provider is also known as Jessica M Ripley.

Q: What is Jessica Vanderham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Vanderham was last updated on April 16, 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.

Active since September 26, 2017PECOS EnrolledAccepts Medicare Assignment

68.65/100

CMS Quality Rating

513 3RD ST SW, WAGNER, SD 57380(605) 384-3611 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2024, Jul 21, 2022 (2 updates tracked since 2022).

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About Jessica M Vanderham Cnp NPPES

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

JESSICA M VANDERHAM CNP (NPI 1285143891) is an individual family provider in Wagner, South Dakota, licensed in North Carolina (5017905) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Sanford Chamberlain Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285143891

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA M VANDERHAMCredential: CNP

Location Address513 3RD ST SWWagner, SD 57380-9675

Mailing Address6915 Village Medical CirClemmons, NC 27012-8002 · (336) 893-1000

Phone(605) 384-3611

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 26, 2017

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1285143891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NC · 5017905✔ Licensed in SD · CP001277

513 3RD ST SW, Wagner, SD 57380

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Other Names 1

Former Name (1)Jessica M Ripley

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company, Sanford Health Plan and more.Insurance ›

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

Jessica M Vanderham 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 ID5991071409

PECOS Enrollment IDI20171030000585

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

Medicare enrollment records show Jessica Vanderham reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wagner Community Memorial Hospital

Same address

Family Medicine

513 3RD ST SW
Wagner, SD 57380

Reassigned Medicare billing, South Dakota enrollment
44 clinicians in this Medicare group

NPI 1740306992 (605) 384-3418

Platte Community Memorial Hospital Inc.

34 mi

Rural Health

601 E 7TH ST, STE 3
Platte, SD 57369

Reassigned Medicare billing, South Dakota enrollment
Also billed through NPI 1235133109 (South Dakota)
11 clinicians in this Medicare group

NPI 1629072400 (605) 337-3364

Sanford Health Network

71 mi

Critical Access

300 S BYRON BLVD
Chamberlain, SD 57325

Reassigned Medicare billing, South Dakota enrollment
Also billed through NPI 1831103449 (South Dakota)
60 clinicians in this Medicare group

NPI 1134140825 (605) 234-5511

Winner Regional Healthcare Center

81 mi

Critical Access

745 E 8TH ST
Winner, SD 57580

Reassigned Medicare billing, South Dakota enrollment
41 clinicians in this Medicare group

NPI 1538233549 (605) 842-7100

Huron Regional Medical Center Inc

89 mi

Critical Access

172 4TH ST SE
Huron, SD 57350

Reassigned Medicare billing, South Dakota enrollment
90 clinicians in this Medicare group

NPI 1154312429 (605) 353-6200

Theoria Medical

755 mi

Internal Medicine

41800 W 11 MILE RD STE 109
Novi, MI 48375

Reassigned Medicare billing, North Carolina enrollment
189 clinicians in this Medicare group

NPI 1609362375 (248) 860-4634

Tanglewood Park Physicians, PLLC

1,070 mi

Emergency Medicine

6915 VILLAGE MEDICAL CIR
Clemmons, NC 27012

Reassigned Medicare billing, North Carolina enrollment
159 clinicians in this Medicare group

NPI 1093286379 (336) 893-1000

Kernersville Emergency Group, PLLC

1,084 mi

Emergency Medicine

1750 KERNERSVILLE MEDICAL PKWY
Kernersville, NC 27284

Reassigned Medicare billing, North Carolina enrollment
158 clinicians in this Medicare group

NPI 1750852034 (336) 564-4000

Piedmont Triad Physicians, PLLC

1,089 mi

Emergency Medicine

207 OLD LEXINGTON RD
Thomasville, NC 27360

Reassigned Medicare billing, North Carolina enrollment
152 clinicians in this Medicare group

NPI 1295206464 (336) 472-2000

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

Areas of Expertise CMS Part B claims 13

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

654 services109 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

287 services95 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

154 services75 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

139 services40 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

90 services44 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

61 services60 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

59 services59 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

57 services35 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

41 services39 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

31 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

27 services27 patients

Advance care planning, first 30 minutes 99497

27 services24 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Sanford Chamberlain Medical Center

Critical Access Hospitals · Chamberlain, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431329

Location300 S ByronChamberlain, SD 57325 · Brule County

Emergency services

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431333

Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County

Emergency services

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431334

Location745 East 8th StreetWinner, SD 57580 · Tripp County

Emergency services

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431335

Location172 Fourth Street SEHuron, SD 57350 · Beadle County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57380 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.

68.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.84

Promoting Interoperability

Improvement Activities

Cost

13.48

Other Providers at the Same Location NPPES 20

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

LINDSEY NEDVED NP-C

Nurse Practitioner (Family)