RIVERS EDGE AESTHETIC SURGERY, LLC
NPI 1285936641
Clinic/Center - Ambulatory Surgical in Sioux Falls, SD
About Rivers Edge Aesthetic Surgery, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERS EDGE AESTHETIC SURGERY, LLC (NPI 1285936641) is a healthcare organization registered as an ambulatory surgical in Sioux Falls, South Dakota and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through September 28, 2028 and lists Marvin E Smoot, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Rivers Edge Aesthetic Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Rivers Edge Aesthetic Surgery, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Waiver 43D2084690
Rivers Edge Aesthetic Surgery · Sioux Falls, SDFrequently 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 Rivers Edge Aesthetic Surgery, LLC's NPI number?
The NPI number for Rivers Edge Aesthetic Surgery, LLC is 1285936641. It was assigned to this organization in the NPPES registry on November 17, 2010.
Where is Rivers Edge Aesthetic Surgery, LLC located?
Rivers Edge Aesthetic Surgery, LLC is located at 4201 South Minnesota Avenue Ste. 111, Sioux Falls, SD 57105. The listed phone number is (605) 335-3349.
What is Rivers Edge Aesthetic Surgery, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Rivers Edge Aesthetic Surgery, LLC enrolled in Medicare?
Yes. Rivers Edge Aesthetic Surgery, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rivers Edge Aesthetic Surgery, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Rivers Edge Aesthetic Surgery, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rivers Edge Aesthetic Surgery, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D2084690) is associated with this NPI, valid through September 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rivers Edge Aesthetic Surgery, LLC accept?
Health plans from Avera Health Plans, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Rivers Edge Aesthetic Surgery, LLC 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 Rivers Edge Aesthetic Surgery, LLC was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Rivers Edge Aesthetic Surgery, Llc · NPI 1285936641
Ambulatory Surgical organization in Sioux Falls, South Dakota. Organization record, active in the CMS NPPES registry since November 17, 2010.
## Identity
- **NPI:** 1285936641 (Entity type: Organization)
- **Enumerated:** November 17, 2010
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Marvin Smoot, DIRECTOR
## Practice location
- **Address:** 4201 SOUTH MINNESOTA AVENUE, STE. 111, Sioux Falls, SD 57105-6742
- **Phone:** (605) 335-3349 · **Fax:** (605) 336-8436
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285936641) · Data from the CMS NPPES public registry.