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

Carmen L Bot

Individual provider Nurse Practitioner · NPI 1336759612

Carmen L Bot is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2020, 6 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
6
Licensed in
SD
In the registry since
2020
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Practice location Address checks out

1301 S Cliff Ave Ste 400
Sioux Falls, SD 57105-1023
Phone: (605) 322-5750
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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 CP001801 (SD)

Record details

NPI number1336759612
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2020
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020
Mailing address1301 S Cliff Ave Ste 400, Sioux Falls, SD 57105-1023

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 Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sioux Falls