Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Louise Fellbaum, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1083377584

Amanda Louise Fellbaum, CNP is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2021, 5 years ago. Practices with Sanford Medical Center, a 842-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
5
Licensed in
SD
In the registry since
2021
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1112 S Lake Ave Ste 201
Sioux Falls, SD 57104
Phone: (605) 312-5350
Fax: (605) 312-8928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence CP002165 (SD)

Record details

NPI number1083377584
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 21, 2021
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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