✓ Licensed & Credentialed Registered Nurse, Case Management (163WC0400X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

AMY MERKLEY, BSN, RN (NPI #1497639041)

Registered Nurse, Case Management • SIOUX FALLS, SD • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1497639041
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WC0400X
Licensed & Credentialed Registered Nurse, Case Management
Box 32 Service Location & ZIP+4
2501 W 22ND ST, SIOUX FALLS, SD, 57105-1305
✓ 9-Digit EDI 837 ZIP+4 (57105-1305)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497639041 (AMY MERKLEY, BSN, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1497639041 (NPI-1 Individual Practitioner)
Provider / Legal NameAMY MERKLEY, BSN, RN
Plain-English SpecialtyLicensed & Credentialed Registered Nurse, Case Management
NUCC Code: 163WC0400X (Registered Nurse, Case Management)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address2501 W 22ND ST, SIOUX FALLS, SD, 57105-1305
Practice Telephone / FaxTel: (605) 336-3230
Administrative Mailing AddressPO BOX 86, ELK POINT, SD, 57025-0086
Enumeration & Last SyncEnumerated: 2025-08-05 | CMS Record Updated: 2025-08-05

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2501 W 22ND ST, SIOUX FALLS, SD, 57105-1305

🗺️ Open in Google Maps 🏥 More Providers in SIOUX FALLS

Plain-English Taxonomy & CMS Crosswalk (163WC0400X)

What Does Taxonomy Code 163WC0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WC0400X translates to:
"Licensed & Credentialed Registered Nurse, Case Management"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Case Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMY MERKLEY, BSN, RN)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
163WC0400X — Registered Nurse, Case Management
Plain English: Licensed & Credentialed Registered Nurse, Case Management
State: SD | License: R033314 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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