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: July 19, 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

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

The NPI number assigned to this healthcare provider is 1083051817, enumerated as an "organization" on June 03, 2013.

The provider is located at 820 1ST AVE SE STE 200 ABERDEEN, SD 57401 and the phone number is (605) 622-5123.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

The provider might be accepting Accepts: Avera Health Plans and Medica. Please consult your insurance carrier or call the provider to verify.