AVERA ST. LUKE'S
NPI 1083051817
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Aberdeen, SD

Active since June 03, 2013CLIA 43D2064855 · Waiver
820 1ST AVE SE STE 200, ABERDEEN, SD 57401(605) 622-5123(605) 622-5906 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Aug 18, 2022, Jul 15, 2022 and 3 more (6 updates tracked since 2018).

About Avera St. Luke's NPPES

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

AVERA ST. LUKE'S (NPI 1083051817), doing business as Avera Medical Group Pain Management Aberdeen, is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Aberdeen, South Dakota and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through August 27, 2027, maintains a secondary practice location in Aberdeen, and lists Daniel J Bjerknes, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1083051817
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameAVERA ST. LUKE'S
Location Address820 1ST AVE SE STE 200Aberdeen, SD 57401-4604
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-4933 · Fax (605) 504-9489
Fax(605) 622-5906
Organization SubpartNo
Authorized OfficialDaniel J BjerknesPresident/ceo · (605) 622-5125
Enumeration DateJune 3, 2013
Last NPPES UpdateApril 21, 20266 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1083051817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code261QR0401X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
820 1ST AVE SE STE 200, Aberdeen, SD 57401

Other Names 3

Doing Business AsAvera Medical Group Pain Management Aberdeen
Doing Business AsAvera Pain Management Aberdeen
Doing Business AsAvera Physical Medicine & Rehabilitation Aberdeen

Secondary Practice Location 1

Location 1820 1st Ave SE Ste 200Aberdeen, SD 57401-4604 · Phone (605) 622-5123 · Fax (605) 622-5906

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avera St. Luke's is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

258

Medicare enrollment records show 258 clinicians reassign Medicare billing to Avera St. Luke's, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 106 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner32
Internal Medicine31
Anesthesiology27
Certified Registered Nurse Anesthetist (CRNA)25
Physical Therapist in Private Practice18
Family Practice15
Orthopedic Surgery13
Pathology12
20 other specialties85

Nearest to this location (20)

See all 258
Otolaryngology
NPI 1528039765
820 1ST AVE SE STE 100
Aberdeen, SD 57401
(605) 622-5506
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1073444501
805 1ST AVE SE
Aberdeen, SD 57401
(605) 622-5878
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1760213110
805 1ST AVE SE
Aberdeen, SD 57401
(605) 622-5878
✔ Accepts MedicareSame address
Internal Medicine
NPI 1871869172
815 1ST AVE SE SUITE 104
Aberdeen, SD 57401
(605) 622-5458
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1770603888
815 1ST AVE SE
Aberdeen, SD 57401
(605) 622-5123
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1801201439
201 S LLOYD ST STE E201
Aberdeen, SD 57401
(605) 622-2545
✔ PECOS✔ Accepts Medicare0.1 mi
Qualified Speech Language Pathologist
NPI 1487421855
805 1ST AVE SE
Aberdeen, SD 57401
(605) 622-5878
✔ Accepts Medicare0.1 mi
Occupational Therapist in Private Practice
NPI 1245636406
805 1ST AVE SE
Aberdeen, SD 57401
(605) 622-5878
✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1063596245
310 S PENN ST SUITE 204
Aberdeen, SD 57401
(605) 225-1636
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1851394662
310 S PENN ST SUITE 105
Aberdeen, SD 57401
(605) 622-8700
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1316935638
310 S PENN ST STE 202
Aberdeen, SD 57401
(605) 225-7326
✔ PECOS0.1 mi
General Surgery
NPI 1295990141
310 S PENN ST SUITE 201
Aberdeen, SD 57401
(605) 229-1367
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1952438996
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 622-2570
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1639364581
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 622-2573
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Radiology
NPI 1437425733
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5540
✔ PECOS0.2 mi
Pathology
NPI 1700439197
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1366002487
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891889622
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5000
✔ Accepts Medicare0.2 mi
Physical Therapist in Private Practice
NPI 1639322837
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5000
✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1982753489
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5100
✔ PECOS✔ Accepts Medicare0.2 mi
See all 258 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 Waiver 43D2064855

Avera St Luke's Pain Center · Aberdeen, SD
Active · expires Aug 27, 2027
CLIA Number43D2064855
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorChar Siefken
Laboratory Phone(605) 622-5123
Laboratory LocationAvera St Luke's Pain Center820 1st Ave Southeast Suite 200, Aberdeen, SD 57401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 St. Luke's's NPI number?

The NPI number for Avera St. Luke's is 1083051817. It was assigned to this organization in the NPPES registry on June 3, 2013. The provider is doing business as Avera Medical Group Pain Management Aberdeen, Avera Pain Management Aberdeen and Avera Physical Medicine & Rehabilitation Aberdeen.

Where is Avera St. Luke's located?

Avera St. Luke's is located at 820 1st Ave SE Ste 200, Aberdeen, SD 57401. The listed phone number is (605) 622-5123.

What is Avera St. Luke's's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Is Avera St. Luke's enrolled in Medicare?

Yes. Avera St. Luke's is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avera St. Luke's?

According to the CMS Revalidation Reassignment List (October 2026 release), 258 clinicians in 28 Medicare specialties reassign their Medicare billing to Avera St. Luke's. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (32), Internal Medicine (31) and Anesthesiology (27). Of these, 3 practice at this address and 106 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Avera St. Luke's hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2064855) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avera St. Luke's accept?

Health plans from Avera Health Plans list Avera St. Luke's as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera St. Luke's was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.