AVERA BARIATRIC CENTER
NPI 1245522622
Specialist in Mitchell, SD
About Avera Bariatric Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA BARIATRIC CENTER (NPI 1245522622) is a healthcare organization registered as a specialist in Mitchell, South Dakota and active in the NPI registry since May 2011. The organization lists Patrick J. Clark, Senior Vice President And Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
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 Bariatric Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
227Medicare enrollment records show 227 clinicians reassign Medicare billing to Avera Bariatric Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 71 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 227Source: 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 Queen Of Peace's NPI number?
The NPI number for Avera Queen Of Peace is 1245522622. It was assigned to this organization in the NPPES registry on May 4, 2011. The provider is doing business as Avera Bariatric Center.
Where is Avera Queen Of Peace located?
Avera Queen Of Peace is located at 2200 N Kimball St, Mitchell, SD 57301. The listed phone number is (605) 996-5482.
What is Avera Queen Of Peace's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
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, 3 practice at this address and 71 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 Queen Of Peace was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Avera Bariatric Center · NPI 1245522622
Specialist organization in Mitchell, South Dakota. Organization record, active in the CMS NPPES registry since May 4, 2011.
## Identity
- **NPI:** 1245522622 (Entity type: Organization)
- **Enumerated:** May 4, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Avera Queen Of Peace
- **Organization subpart:** No
- **Authorized official:** Patrick Clark, SENIOR VICE PRESIDENT AND CFO
## Practice location
- **Address:** 2200 N KIMBALL ST, Mitchell, SD 57301-1113
- **Phone:** (605) 996-5482
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 227 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Diagnostic Radiology (35), Internal Medicine (28); 3 practice at this address and 71 within 10 miles; [full list](https://npiprofile.com/npi/1245522622/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2011
- **Other identifiers:** Medicare OSCAR/certification 430013 (SD); Medicare PIN S1639 (SD)
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Source: [NPI Profile](https://npiprofile.com/npi/1245522622) · Data from the CMS NPPES public registry.