Provider Demographics
NPI:1033183736
Name:NOYES, ERIC M (MSN, CNP)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:NOYES
Suffix:
Gender:M
Credentials:MSN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:6100 S LOUISE AVE STE 1120
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-6021
Practice Address - Country:US
Practice Address - Phone:605-504-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCNP0275363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD22325OtherMIDLANDS CHOICE
IA2920900Medicaid
SD32853OtherSANFORD HEALTH PLAN
SD6827070Medicaid
MN92411422901OtherPRIMEWEST
MN034906200Medicaid
SD769201023472OtherPREFERRED ONE
SD0109170OtherMEDICA
MN24D43NOOtherCC SYSTEMS/ BLUE PLUS
SD991053OtherARAZ/ AMERICA'S PPO
SD0006942OtherBLUE CROSS
NE46022474335Medicaid
SD500014207OtherRR MEDICARE
SDHP32387OtherHEALTHPARTNERS
ND12262Medicaid
SD2478OtherDAKOTACARE
SD57105F011OtherWPS TRICARE
SD500014207OtherRR MEDICARE
NE46022474335Medicaid