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

Jessica M Vanderham, CNP

Individual provider Family Nurse Practitioner · NPI 1285143891

Jessica M Vanderham, CNP is a Nurse Practitioner in Wagner, South Dakota. Qualified in 2017, 9 years ago. Practices with Sanford Health Network, a 364-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Dakota.

Years since qualifying
9
Licensed in
NC, SD
In the registry since
2017
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

513 3rd St SW
Wagner, SD 57380-9675
Phone: (605) 384-3611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5017905 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CP001277 (SD)

Record details

NPI number1285143891
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 26, 2017
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sanford Health Network — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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