ANGELA R ANDERSON MD
NPI 1235173659
Pediatrics in Spearfish, SD

NPI Status: Active since June 15, 2006

Contact Information

1445 NORTH AVE
SPEARFISH, SD
ZIP 57783
Phone: (605) 644-4170
Fax: (605) 644-4198

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  • Individual
  • Female
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About ANGELA ANDERSON

This page provides the complete NPI Profile along with additional information for Angela Anderson, a pediatrician established in Spearfish, South Dakota with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1235173659 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X with license number 3897 (SD). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1235173659
Provider Name
ANGELA R ANDERSON MD
Other Name
ANGELA STAMPE
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
1445 NORTH AVE SPEARFISH, SD 57783
Location Phone
(605) 644-4170
Location Fax
(605) 644-4198
Mailing Address
353 FAIRMONT BLVD ATTEN MEDICAL STAFF SERVICES RAPID CITY, SD 57701
Is Sole Proprietor?
No
Enumeration Date
06-15-2006
Last Update Date
03-15-2021
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A pediatrician like Angela Anderson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 930 SW Abbey St Ste A
    Newport, OR 97365
    (541) 265-8816

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
3897
License State
SD
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD196544 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Avera $1800 - PPO
  • Avera $2000 - PPO
  • Avera $4000 - PPO
  • Avera $4500 - PPO
  • Avera $6000 - PPO
  • Avera $7500 HSA Eligible HDHP - PPO
  • Avera $9200 - PPO
  • Avera Standard $1500 - PPO
  • Avera Standard $5000 - PPO
  • Avera Standard $7500 - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Wellmark Bronze HDHP EPO HSA Qualified - EPO
  • Wellmark Bronze Traditional EPO - EPO
  • Wellmark Gold Traditional EPO - EPO
  • Wellmark Silver Traditional EPO - EPO
  • Wellmark Standard Bronze EPO - EPO
  • Wellmark Standard Gold EPO - EPO
  • Wellmark Standard Silver EPO - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Angela Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 57783 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.21
  • Minimum New Patient Price $55.52
  • Maximum New Patient Price $167.23
  • Average New Patient Copayment $21.3
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $41.8

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.88
  • Minimum Established Patient Price $18.08
  • Maximum Established Patient Price $137.08
  • Average Established Patient Copayment $24.47
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ANGELA R ANDERSON MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235173659
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265276610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 7 + 6 + 6 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1235173659 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598754806DR. DOUGLAS JOHN WESSEL PH.D.
Individual
Psychologist1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1134159049 WARREN GOLLIHER MD
Individual
Family Medicine1445 NORTH AVE SUITE 2
SPEARFISH, SD 57783
(605) 644-4170
1639151285DR. GARRY K DUNN M.D.
Individual
Radiology (Diagnostic Radiology)1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1558316422 JAMI KORTAN PA-C
Individual
Physician Assistant1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1134160591 HEATHER A BREWER MD
Individual
Obstetrics & Gynecology1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1104919067 DENISE L BYRD AUD
Individual
Audiologist1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1689762866 SANDRA D CLOOTEN CNP
Individual
Nurse Practitioner (Family)1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1629399464 TARA MARIE ULMER MD
Individual
Pediatrics1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1720010952 STEPHEN C PARYS MD
Individual
Pediatrics1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1417022393DR. MEGHAN COLLEEN O'BRYAN MD
Individual
Surgery1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1215137179DR. JESSICA LYNN DONNER MD
Individual
Obstetrics & Gynecology1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1710203401 ANDREW DEAN VANOSDOL M.D.
Individual
Surgery1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1619940426 JILL C MUTH CNP
Individual
Nurse Practitioner1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1215373741 WESLEY REID BADGER M.D.
Individual
Surgery1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1275996621 ROSLYN OAKLEY
Individual
Pediatrics1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1376195222 JANESA RYAN NP-C
Individual
Nurse Practitioner1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1902285828MONUMENT HEALTH NETWORK, INC.
Organization
Clinic/Center (Multi-Specialty)1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1699384214 NATALIE LOUISE POLEI RD
Individual
Dietitian, Registered1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1144276957SPEARFISH REGIONAL HOSPITAL
Organization
General Acute Care Hospital1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170
1912566050DR. LARISSA FELICIA BELTMAN AU.D
Individual
Audiologist1445 NORTH AVE
SPEARFISH, SD 57783
(605) 644-4170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235173659, enumerated in the NPI registry as an "individual" on June 15, 2006

The provider is located at 1445 North Ave Spearfish, Sd 57783 and the phone number is (605) 644-4170

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Avera Health Plans, Medica, Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.21 with an average copayment of $21.3 for new patient appointments. Established patients should expect a typical charge of $97.88 and an average copayment of 24.47. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.