AVERA MEDICAL GROUP A DEPARTMENT OF BROOKINGS HEALTH SYSTEM
NPI 1134558158
Clinic/Center - Multi-Specialty in Brookings, SD

Active since November 12, 2013
400 22ND AVE, BROOKINGS, SD 57006(605) 697-9500(605) 697-6939 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2018, Feb 22, 2016, Feb 17, 2016 and 1 more (4 updates tracked since 2016).

About Avera Medical Group A Department Of Brookings Health System NPPES

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

AVERA MEDICAL GROUP A DEPARTMENT OF BROOKINGS HEALTH SYSTEM (NPI 1134558158) is a healthcare organization registered as a multi-specialty in Brookings, South Dakota and active in the NPI registry since November 2013. The organization lists Melissa Wagner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1134558158
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCITY OF BROOKINGS
Location Address400 22ND AVEBrookings, SD 57006-2450
Mailing Address300 22nd AveBrookings, SD 57006-2480 · (605) 696-9000 · Fax (605) 696-7751
Fax(605) 697-6939
Organization SubpartNo
Authorized OfficialMelissa WagnerCfo · (605) 696-9000
Enumeration DateNovember 12, 2013
Last NPPES UpdateApril 24, 20234 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1134558158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
400 22ND AVE, Brookings, SD 57006

Other Names 1

Doing Business AsAvera Medical Group A Department Of Brookings Health System

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 Medical Group A Department Of Brookings Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

156

Medicare enrollment records show 156 clinicians reassign Medicare billing to Avera Medical Group A Department Of Brookings Health System, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner39
Family Practice28
Physical Therapist in Private Practice18
Certified Registered Nurse Anesthetist (CRNA)16
Internal Medicine16
Emergency Medicine9
General Surgery8
Obstetrics/Gynecology6
10 other specialties16

Nearest to this location (20)

See all 156
Nurse Practitioner
NPI 1366215154
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609301365
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1194325712
400 22ND AVE
Brookings, SD 57006
(605) 697-7336
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235961905
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1548677362
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1912676958
400 22ND AVE
Brookings, SD 57006
(605) 697-7336
✔ Accepts MedicareSame address
Family Practice
NPI 1922427830
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1063906394
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669220687
400 22ND AVE
Brookings, SD 57006
(605) 695-9500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780399709
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114967403
400 22ND AVE
Brooking, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710329628
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1265484216
400 22ND AVE.
Brookings, SD 57006
(605) 697-9500
✔ Accepts MedicareSame address
Family Practice
NPI 1528521861
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1285839787
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1407364391
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ Accepts MedicareSame address
Podiatry
NPI 1902464027
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1972553949
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1700844131
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1891015285
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
See all 156 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 City Of Brookings's NPI number?

The NPI number for City Of Brookings is 1134558158. It was assigned to this organization in the NPPES registry on November 12, 2013. The provider is doing business as Avera Medical Group A Department Of Brookings Health System.

Where is City Of Brookings located?

City Of Brookings is located at 400 22nd Ave, Brookings, SD 57006. The listed phone number is (605) 697-9500.

What is City Of Brookings's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is City Of Brookings enrolled in Medicare?

Yes. City Of Brookings is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through City Of Brookings?

According to the CMS Revalidation Reassignment List (October 2026 release), 156 clinicians in 18 Medicare specialties reassign their Medicare billing to City Of Brookings. 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 (39), Family Practice (28) and Physical Therapist in Private Practice (18). Of these, 33 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does City Of Brookings accept?

Health plans from Avera Health Plans list City Of Brookings 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 City Of Brookings was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.