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AVERA MEDICAL GROUP SALEM
NPI 1619201829
Clinic/Center - Rural Health in Salem, SD

Active since September 22, 2009
741 S HILL ST, SALEM, SD 57058(605) 425-3038(605) 425-3039 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avera Medical Group Salem NPPES

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

AVERA MEDICAL GROUP SALEM (NPI 1619201829) is a healthcare organization registered as a rural health in Salem, South Dakota and active in the NPI registry since September 2009. The organization lists Douglas Ekeren, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1619201829
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAVERA QUEEN OF PEACE
Location Address741 S HILL STSalem, SD 57058-8761
Mailing Address525 N Foster StMitchell, SD 57301-2966 · (605) 995-2000 · Fax (605) 995-2441
Phone(605) 425-3038
Fax(605) 425-3039
Organization SubpartNo
Authorized OfficialDouglas EkerenPresident/ceo · (605) 668-8322
Enumeration DateSeptember 22, 2009
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1619201829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in SD · NA
741 S HILL ST, Salem, SD 57058
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Other Names 1

Doing Business AsAvera Medical Group Salem

Other Identifiers 5

Medicaid5307012SD
OtherS1639SD · Medicare Part B
Other00-00592SD · Medica
OtherCR0890SD · Medicare Railroad
Other4991003SD · Wellmark

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 Salem 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 Medical Group Salem, which bills Medicare for the services they deliver. 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
Christopher Marek, DPT
Physical Therapist in Private Practice
NPI 1942453121
131 S MAIN ST
Howard, SD 57349
(605) 772-2131
✔ Accepts Medicare21 mi
Tonya Buchholz, CNP
Nurse Practitioner
NPI 1538311352
323 SW 10TH STREET
Madison, SD 57042
(605) 256-6551
✔ PECOS✔ Accepts Medicare22 mi
Tammy Vande Kamp, CNP
Nurse Practitioner
NPI 1427417898
304 WEST SD HIGHWAY 38 STE 126
Hartford, SD 57033
(605) 494-1500
✔ PECOS✔ Accepts Medicare23 mi
Brittany Deckert, DPT, ATC
Physical Therapist in Private Practice
NPI 1437767662
100 W SD HIGHWAY 38 STE H
Hartford, SD 57033
(605) 528-1900
✔ Accepts Medicare23 mi
Kenneth Kirton, MD
Hospice/Palliative Care
NPI 1154392249
804 S WALNUT ST
Freeman, SD 57029
(605) 925-4219
✔ PECOS✔ Accepts Medicare27 mi
Dustin Randall, CNP
Nurse Practitioner
NPI 1982967451
804 S. WALNUT STREET
Freeman, SD 57029
(605) 925-4219
✔ PECOS✔ Accepts Medicare27 mi
William Graham, D.O.
Otolaryngology
NPI 1558450254
625 N FOSTER ST SUITE 203
Mitchell, SD 57301
(605) 996-8386
✔ PECOS✔ Accepts Medicare31 mi
Brian Kampmann, MD
Orthopedic Surgery
NPI 1801014956
625 N FOSTER ST SUITE 200
Mitchell, SD 57301
(605) 996-3963
✔ PECOS✔ Accepts Medicare31 mi
Michael Krause, D.O.
Obstetrics/Gynecology
NPI 1073626115
625 N FOSTER ST STE 108
Mitchell, SD 57301
(605) 990-1995
✔ PECOS✔ Accepts Medicare31 mi
Jessica Claussen, MD
Ophthalmology
NPI 1700014412
625 N FOSTER ST STE 202
Mitchell, SD 57301
(605) 995-6393
✔ PECOS✔ Accepts Medicare31 mi
Erika Clark, OTD, OTR/L
Occupational Therapist in Private Practice
NPI 1962139063
525 N FOSTER ST
Mitchell, SD 57301
(605) 955-2000
✔ Accepts Medicare31 mi
Phillip Becker, MD
Anesthesiology
NPI 1427092634
525 N FOSTER ST
Mitchell, SD 57301
(605) 995-2000
✔ PECOS✔ Accepts Medicare31 mi
Julie Hegg
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740260579
525 N FOSTER ST
Mitchell, SD 57301
(605) 995-2000
✔ Accepts Medicare31 mi
Jonathan Kludt
Physical Therapist in Private Practice
NPI 1518307271
525 N FOSTER ST
Mitchell, SD 57301
(605) 995-2000
✔ Accepts Medicare31 mi
James Nielsen, M.D.
Emergency Medicine
NPI 1205806460
525 N FOSTER ST
Mitchell, SD 57301
(605) 995-2000
✔ PECOS31 mi
Christopher Haiar
Qualified Speech Language Pathologist
NPI 1902733629
525 N FOSTER ST
Mitchell, SD 57301
(605) 995-6373
31 mi
Lucio Margallo, MD
Internal Medicine
NPI 1639271034
1115 E 5TH AVE
Mitchell, SD 57301
(605) 996-5553
✔ PECOS✔ Accepts Medicare31 mi
Dennis Leland, MD
General Surgery
NPI 1467418772
2200 N KIMBALL ST SUITE 200
Mitchell, SD 57301
(605) 996-8989
✔ PECOS✔ Accepts Medicare32 mi
Nathan Timmer, MD
Family Practice
NPI 1972890911
402 E NORWAY AVE
Mitchell, SD 57301
(605) 990-5005
✔ PECOS✔ Accepts Medicare32 mi
Kassidy Boyd, M.D.
Pediatric Medicine
NPI 1629501077
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts Medicare32 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.

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 1619201829. It was assigned to this organization in the NPPES registry on September 22, 2009. The provider is doing business as Avera Medical Group Salem.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 741 S Hill St, Salem, SD 57058. The listed phone number is (605) 425-3038.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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). 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 August 20, 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.