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AVERA MEDICAL GROUP
NPI 1003363490
Physician Assistant in Pierre, SD

Active since September 02, 2016CLIA Certified · 2 labs

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avera Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP (NPI 1003363490) is a healthcare organization registered as a physician assistant in Pierre, South Dakota and active in the NPI registry since September 2016. The organization holds 2 active CLIA laboratory certificates and lists Jenna Zellmer, Hr, as its authorized official.

NPPES Registry Identity

NPI1003363490
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameAVERA MEDICAL GROUP
Location Address100 MAC LNPierre, SD 57501-3391
Mailing Address100 Mac LnPierre, SD 57501-3391 · (605) 224-5901
Phone(605) 224-5901
Organization SubpartYesParent: Avera
Authorized OfficialJenna ZellmerHr · (605) 224-5901
Enumeration DateSeptember 2, 2016
✔ NPI 1003363490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 1052
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 MAC LN, Pierre, SD 57501
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 43D0407747

Avera Medical Group Pierre Laboratory · Pierre, SD
Active · expires Dec 22, 2027
CLIA Number43D0407747
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Bailey A. Reindl
Laboratory Phone(605) 945-5231
Laboratory LocationAvera Medical Group Pierre Laboratory801 East Sioux Ave, Pierre, SD 57501
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 43D2123371

Avera Medical Group - Pierre Mohs Laboratory · Pierre, SD
Active · expires Apr 16, 2027
CLIA Number43D2123371
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorJoyce Fletcher
Laboratory Phone(605) 224-2268
Laboratory LocationAvera Medical Group - Pierre Mohs LaboratoryThe Helmsley Center 801 East Sioux Avenue, Pierre, SD 57501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE CAMPBELL FNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
DR. NICOLE MARIE POPPINGA M.D.
Pediatrics
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 945-5246
DR. DANIEL R RASMUSSEN DO
Physical Medicine & Rehabilitation
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
JULIE ANN COX CNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
ERICKA LESLIE PETERSEN CNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
DIAGNOSTIC TECHNICAL SERVICES LLC
Clinical Medical Laboratory
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 977-5000
AVERA MCKENNAN
Clinic/Center (Ambulatory Surgical)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
KACEY BETH HUTCHISON MA, LSW, LAC, LPC
Social Worker (Clinical)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Medical Group's NPI number?

The NPI number for Avera Medical Group is 1003363490. It was assigned to this organization in the NPPES registry on September 2, 2016.

Where is Avera Medical Group located?

Avera Medical Group is located at 100 Mac Ln, Pierre, SD 57501. The listed phone number is (605) 224-5901.

What is Avera Medical Group's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Avera Medical Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Avera Medical Group was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.