1. Home
  2. Directory
  3. South Dakota
  4. Mitchell
  5. Family Medicine
  6. NPI Profile

AVERA QUEEN OF PEACE
NPI 1124308010
Family Medicine in Mitchell, SD

Active since August 23, 2011CLIA 43D0707587 · Accreditation
1900 GRASSLAND DR, MITCHELL, SD 57301(605) 995-7000(605) 995-7052 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2026, May 16, 2025, Aug 20, 2020 and 3 more (6 updates tracked since 2016).

About Avera Queen Of Peace NPPES

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

AVERA QUEEN OF PEACE (NPI 1124308010), doing business as Avera Family Medicine Mitchell/averanow, is a healthcare organization registered as a family medicine in Mitchell, South Dakota and active in the NPI registry since August 2011. The organization holds an CLIA Accreditation certificate valid through February 8, 2027, maintains 2 additional practice locations, and lists Hilary Rae Rockwell, Regional President/ceo, as its authorized official.

NPPES Registry Identity

NPI1124308010
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVERA QUEEN OF PEACE
Location Address1900 GRASSLAND DRMitchell, SD 57301-6205
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-4933 · Fax (605) 504-9489
Phone(605) 995-7000
Fax(605) 995-7052
Organization SubpartYesParent: Avera Health
Authorized OfficialHilary Rae RockwellRegional President/ceo · (605) 995-2250
Enumeration DateAugust 23, 2011
Last NPPES UpdateJanuary 22, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1124308010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1900 GRASSLAND DR, Mitchell, SD 57301
Open in Google Maps ↗

Other Names 3

Doing Business AsAvera Family Medicine Mitchell/averanow
Doing Business AsAvera Medical Group Family Medicine Mitchell/averanow
Doing Business AsAvera Mitchell Clinic

Secondary Practice Locations 2

Location 1818 W Havens Ave Ste 800Mitchell, SD 57301-3830 · Phone (605) 996-7526 · Fax (605) 996-1808
Location 2818 W Havens Ave Ste 900Mitchell, SD 57301-3830 · Phone (605) 996-7526 · Fax (605) 996-1808

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.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 Queen Of Peace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

227

Medicare enrollment records show 227 clinicians reassign Medicare billing to Avera Queen Of Peace, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 71 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner38
Diagnostic Radiology35
Internal Medicine28
Physical Therapist in Private Practice20
Certified Registered Nurse Anesthetist (CRNA)17
Family Practice12
Emergency Medicine9
Occupational Therapist in Private Practice9
20 other specialties59

Nearest to this location (20)

See all 227
Dalton Baird, MD
Obstetrics/Gynecology
NPI 1295363463
1900 GRASSLAND DR
Mitchell, SD 57301
(214) 820-0111
✔ PECOS✔ Accepts MedicareSame address
Kassidy Boyd, M.D.
Pediatric Medicine
NPI 1629501077
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts MedicareSame address
Charissa Etrheim
Family Practice
NPI 1578192423
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts MedicareSame address
Biruk Gote, MD
Pediatric Medicine
NPI 1851020481
1900 GRASSLAND DR SUITE 103
Mitchell, SD 57301
(605) 995-4900
✔ PECOSSame address
Grace Grabenstein, OD
Optometry
NPI 1932087343
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-5640
✔ PECOS✔ Accepts MedicareSame address
Michael Jesch, AGPCNP-BC
Nurse Practitioner
NPI 1295169290
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-4940
✔ PECOS✔ Accepts MedicareSame address
Maria Ludens, MD
Internal Medicine
NPI 1194475681
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts MedicareSame address
Ty Moody, MD
Internal Medicine
NPI 1932787017
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts MedicareSame address
Lacey Bonte, DNP
Nurse Practitioner
NPI 1780055780
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 996-7000
✔ PECOS0.1 mi
Mandi Greenway, M.D.
Dermatology
NPI 1679830905
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts Medicare0.1 mi
Nathan Timmer, MD
Family Practice
NPI 1972890911
402 E NORWAY AVE
Mitchell, SD 57301
(605) 990-5005
✔ PECOS✔ Accepts Medicare0.3 mi
Whitney Kroupa, LCSW-PIP
Clinical Social Worker
NPI 1205200243
1423 N MAIN ST
Mitchell, SD 57301
(605) 494-1500
✔ PECOS✔ Accepts Medicare0.5 mi
Meghan Torgerson, FNP-C
Nurse Practitioner
NPI 1134584584
1130 S BURR ST STE 150
Mitchell, SD 57301
(530) 301-8688
✔ PECOS✔ Accepts Medicare0.7 mi
Betsy Van Genderen, CNP
Nurse Practitioner
NPI 1780865626
2100 HIGHLAND WAY STE K
Mitchell, SD 57301
(605) 996-0440
✔ PECOS✔ Accepts Medicare0.7 mi
Keri Nebelsick, O.D.
Optometry
NPI 1477840478
211 E HAVENS AVE
Mitchell, SD 57301
(605) 995-5640
✔ PECOS✔ Accepts Medicare0.8 mi
Matthew Christiansen, PHD
Clinical Psychologist
NPI 1639136088
115 E HAVENS AVE STE 102
Mitchell, SD 57301
(605) 299-2829
✔ PECOS✔ Accepts Medicare0.8 mi
Laura Assmus
Physical Therapist in Private Practice
NPI 1699125419
501 W HAVENS AVE SUITE 103
Mitchell, SD 57301
(605) 995-6044
0.9 mi
Christine Hildebrandt
Physical Therapist in Private Practice
NPI 1811205305
501 W HAVENS AVE SUITE 103
Mitchell, SD 57301
(605) 995-6044
✔ Accepts Medicare0.9 mi
Rebecca Weich, OT
Occupational Therapist in Private Practice
NPI 1477750008
501 W HAVENS AVE SUITE 103
Mitchell, SD 57301
(605) 995-6044
✔ Accepts Medicare0.9 mi
Kennedy Weiland
Qualified Speech Language Pathologist
NPI 1396121125
501 W HAVENS AVE SUITE 103
Mitchell, SD 57301
(605) 995-6044
✔ Accepts Medicare0.9 mi
See all 227 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 Accreditation 43D0707587

Avera Queen Of Peace Health Services · Mitchell, SD
Active · expires Feb 8, 2027
CLIA Number43D0707587
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Brian J. Tjarks
Laboratory Phone(605) 995-2250
Laboratory LocationAvera Queen Of Peace Health Services525 North Foster, Mitchell, SD 57301
CLIA data matches this NPI record on: Name Phone
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.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Avera Grassland Pharmacy carries, from the Medicare DMEPOS supplier directory.

Avera Grassland Pharmacy

DMEPOS supplier · Mitchell, SDOperated by Avera Queen Of Peace
✔

Accepts Medicare assignment

Avera Grassland Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20627897
Medicare Participant SinceJune 1, 2000
Supplier Location1900 Grassland Dr Ste 101Mitchell, SD 57301
Phone(605) 995-5670
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Queen Of Peace's NPI number?

The NPI number for Avera Queen Of Peace is 1124308010. It was assigned to this organization in the NPPES registry on August 23, 2011. The provider is doing business as Avera Family Medicine Mitchell/AveraNOW, Avera Medical Group Family Medicine Mitchell/AveraNOW and Avera Mitchell Clinic.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 1900 Grassland Dr, Mitchell, SD 57301. The listed phone number is (605) 995-7000.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Avera Queen Of Peace enrolled in Medicare?

Yes. Avera Queen Of Peace is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avera Queen Of Peace?

According to the CMS Revalidation Reassignment List (October 2026 release), 227 clinicians in 28 Medicare specialties reassign their Medicare billing to Avera Queen Of Peace. 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 (38), Diagnostic Radiology (35) and Internal Medicine (28). Of these, 8 practice at this address and 71 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Avera Queen Of Peace accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Avera Grassland Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Avera Queen Of Peace hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 43D0707587) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avera Queen Of Peace accept?

Health plans from Avera Health Plans list Avera Queen Of Peace 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 Queen Of Peace was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.