Provider Demographics
NPI:1922071471
Name:ERPENBACH, JOHN E (CNP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:ERPENBACH
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
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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 1:4400 W 69TH ST
Practice Address - Street 2:STE 1500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-5700
Practice Address - Fax:605-322-5704
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD0090363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN040121002OtherPRIMEWEST
SD370624200OtherDEPT OF LABOR
SD57108C028OtherWPS TRICARE
SDP00254384OtherRR MEDICARE
NE46022474352Medicaid
SD6820314Medicaid
MN951S2EROtherCC SYSTEMS/ BLUE PLUS
ND12200Medicaid
SD4995276OtherBLUE CROSS
IA1958108Medicaid
MN412017500Medicaid
SD22792OtherSANFORD HEALTH PLAN
SD10630OtherMIDLANDS CHOICE
SD412991028084OtherPREFERRED ONE
SD848663OtherARAZ/ AMERICA'S PPO
SD9214778OtherDAKOTACARE
SDHP24883OtherHEALTHPARTNERS
SD10630OtherMIDLANDS CHOICE
SDHP24883OtherHEALTHPARTNERS