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

Andria Jo Petersen, NP-C

Individual provider Nurse Practitioner · NPI 1194280156

Andria Jo Petersen, NP-C is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2018, 8 years ago. Practices with Sanford Medical Center, a 842-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
8
Licensed in
SD
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2400 W 49th St
Sioux Falls, SD 57105-6581
Phone: (605) 312-8700
Fax: (605) 312-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CP001529 (SD)
Nurse Practitioner Taxonomy 363L00000X · Licence CP001529 (SD)

Record details

NPI number1194280156
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 4, 2019
Last updated in NPPESJune 10, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Sioux Falls