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

Andrea Marie Kim Bennett

Individual provider Nurse Practitioner · NPI 1093460974

Andrea Marie Kim Bennett is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2020, 6 years ago. Practices with Sanford Medical Center, a 842-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
6
Licensed in
SD
In the registry since
2022
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Practice location Address checks out

1305 W 18th St
Sioux Falls, SD 57105-0401
Phone: (605) 328-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP002309 (SD)

Record details

NPI number1093460974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Sioux Falls