AVERA ST LUKES HOSPITAL
NPI 1124502646
Emergency Medicine in Aberdeen, SD

Q: What is Avera St Luke's's NPI number?

The NPI number for Avera St Luke's is 1124502646. It was assigned to this organization in the NPPES registry on September 20, 2018. The provider is doing business as Avera St Lukes Hospital.

Q: What is Avera St Luke's's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Avera St Luke's was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 20, 2018

305 S STATE ST, ABERDEEN, SD 57401(605) 622-5100(605) 622-4030 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2022, Jul 15, 2022, Apr 2, 2020 and 1 more (4 updates tracked since 2018).

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About Avera St Lukes Hospital NPPES

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

AVERA ST LUKES HOSPITAL (NPI 1124502646) is a healthcare organization registered as an emergency medicine in Aberdeen, South Dakota and active in the NPI registry since September 2018. The organization lists Daniel J Bjerknes, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1124502646

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameAVERA ST LUKE'S

Location Address305 S STATE STAberdeen, SD 57401-4527

Mailing AddressPo Box 860674Minneapolis, MN 55486-0001 · (605) 622-2857 · Fax (605) 622-2859

Phone(605) 622-5100

Fax(605) 622-4030

Organization SubpartNo

Authorized OfficialDaniel J BjerknesPresident/ceo · (605) 622-5125

Enumeration DateSeptember 20, 2018

Last NPPES UpdateAugust 18, 20224 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1124502646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

305 S STATE ST, Aberdeen, SD 57401

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Other Names 1

Doing Business AsAvera St Lukes Hospital

Other Identifiers 1

OtherS101808SD · Medicare

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

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 Lukes Hospital 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 Lukes Hospital, 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

Amanda Bradley, MD

Emergency Medicine

NPI 1336341866

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5100

✔ PECOS✔ Accepts MedicareSame address

Michelle Haaland, PT

Physical Therapist in Private Practice

NPI 1417100611

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5000

✔ Accepts MedicareSame address

Anne Smith, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1073636213

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5000

✔ Accepts MedicareSame address

Justin Van Der Meid

Psychiatry

NPI 1548656374

201 S. STATE ST., STE E201
Aberdeen, SD 57401

(056) 222-5456

✔ PECOS✔ Accepts Medicare0.1 mi

Jacek Bednarz, DO

Family Practice

NPI 1255911145

105 S STATE ST STE 113
Aberdeen, SD 57401

(605) 225-0378

✔ PECOS✔ Accepts Medicare0.1 mi

Layne Holzer, FNP-C

Nurse Practitioner

NPI 1346056983

105 S STATE ST STE 113
Aberdeen, SD 57401

(605) 225-0378

✔ PECOS✔ Accepts Medicare0.1 mi

David Ring, MD

General Surgery

NPI 1992017222

310 S PENNSYLVANIA ST STE 201
Aberdeen, SD 57401

(605) 229-1367

✔ PECOS✔ Accepts Medicare0.2 mi

Katie Duffney, MA, CCC-SLP

Qualified Speech Language Pathologist

NPI 1487421855

805 1ST AVE SE
Aberdeen, SD 57401

(605) 622-5878

✔ Accepts Medicare0.3 mi

Christa Weber, OT

Occupational Therapist in Private Practice

NPI 1245636406

805 1ST AVE SE
Aberdeen, SD 57401

(605) 622-5878

✔ Accepts Medicare0.3 mi

Ronald Rovang, M.D.

Internal Medicine

NPI 1295794378

815 1ST AVE SE SUITE 104
Aberdeen, SD 57401

(605) 622-5458

✔ PECOS✔ Accepts Medicare0.3 mi

Drew Geier, PT, DPT

Physical Therapist in Private Practice

NPI 1073444501

805 1ST AVE SE
Aberdeen, SD 57401

(605) 622-5878

✔ Accepts Medicare0.4 mi

Shawna Schmidt, MD

Anesthesiology

NPI 1770603888

815 1ST AVE SE
Aberdeen, SD 57401

(605) 622-5123

✔ PECOS✔ Accepts Medicare0.4 mi

Robert Cihak, M.D.

Otolaryngology

NPI 1528039765

820 1ST AVE SE STE 100
Aberdeen, SD 57401

(605) 622-5506

✔ PECOS✔ Accepts Medicare0.4 mi

Tage Born, MD

Obstetrics/Gynecology

NPI 1063596245

310 S PENN ST SUITE 204
Aberdeen, SD 57401

(605) 225-1636

✔ PECOS✔ Accepts Medicare0.5 mi

Richard Conklin, MD

Hematology/Oncology

NPI 1851394662

310 S PENN ST SUITE 105
Aberdeen, SD 57401

(605) 622-8700

✔ PECOS✔ Accepts Medicare0.5 mi

George Kiser, MD

Urology

NPI 1316935638

310 S PENN ST STE 202
Aberdeen, SD 57401

(605) 225-7326

✔ PECOS0.5 mi

Chad Stapp, DPM

Podiatry

NPI 1952438996

310 S PENN ST STE 203
Aberdeen, SD 57401

(605) 622-2570

✔ PECOS✔ Accepts Medicare0.5 mi

Susheel Gundewar, M.D.

Cardiovascular Disease (Cardiology)

NPI 1639364581

310 S PENN ST STE 203
Aberdeen, SD 57401

(605) 622-2573

✔ PECOS✔ Accepts Medicare0.5 mi

Bari Fritz, MD

Pathology

NPI 1063715449

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5000

✔ PECOS✔ Accepts Medicare0.5 mi

Lawrence Donley, MD

Emergency Medicine

NPI 1982753489

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5100

✔ PECOS✔ Accepts Medicare0.5 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.

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 1124502646. It was assigned to this organization in the NPPES registry on September 20, 2018. The provider is doing business as Avera St Lukes Hospital.

Where is Avera St Luke's located?

Avera St Luke's is located at 305 S State St, Aberdeen, SD 57401. The listed phone number is (605) 622-5100.

What is Avera St Luke's's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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.

When was this NPI record last updated?

The NPPES record for Avera St Luke's was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.