MEDICARE: ERIC M NOYES MSN, CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	CNP0275	SD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
13	500014207	OTHER	SD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22325	OTHER	SD	MIDLANDS CHOICE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	32853	OTHER	SD	SANFORD HEALTH PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	92411422901	OTHER	MN	PRIMEWEST
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	769201023472	OTHER	SD	PREFERRED ONE
8	0109170	OTHER	SD	MEDICA
9	24D43NO	OTHER	MN	CC SYSTEMS/ BLUE PLUS
10	991053	OTHER	SD	ARAZ/ AMERICA'S PPO
11	0006942	OTHER	SD	BLUE CROSS
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	HP32387	OTHER	SD	HEALTHPARTNERS
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	2478	OTHER	SD	DAKOTACARE
17	57105F011	OTHER	SD	WPS TRICARE

General Provider Information

NPI Number	:	1033183736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC M NOYES MSN, CNP

Provider Business Mailing Address
First Line	:	PO BOX 86370
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57118-6370
Country	:	US
Telephone Number	:	605-322-7510
Fax Number	:	605-322-6475

Provider Business Practice Location Address
First Line	:	6100 S LOUISE AVE STE 1120
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-6021
Country	:	US
Telephone Number	:	605-504-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	10/31/2019

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