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AVERANOW
NPI 1629361720
Physician Assistant in Mitchell, SD

Active since May 23, 2011
1900 GRASSLAND DR, MITCHELL, SD 57301(605) 995-7000 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2020, Mar 29, 2016 (2 updates tracked since 2016).

About Averanow NPPES

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

AVERANOW (NPI 1629361720) is a healthcare organization registered as a physician assistant in Mitchell, South Dakota and active in the NPI registry since May 2011. The organization lists Douglas Ekeren, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629361720
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameAVERA QUEEN OF PEACE
Location Address1900 GRASSLAND DRMitchell, SD 57301-6205
Mailing AddressPo Box 432Mitchell, SD 57301-0432 · (605) 995-7000
Phone(605) 995-7000
Organization SubpartNo
Authorized OfficialDouglas EkerenPresident/ceo · (605) 668-8322
Enumeration DateMay 23, 2011
Last NPPES UpdateAugust 20, 20202 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
✔ NPI 1629361720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse PractitionerTaxonomy 363L00000X
1900 GRASSLAND DR, Mitchell, SD 57301
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Other Names 1

Doing Business AsAveranow

Other Identifiers 1

Medicaid2002248SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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)

Averanow 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 Averanow, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 71 within 10 miles. 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
Aaron Baas, MD
Family Practice
NPI 1114144375
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts MedicareSame address
Angela Broughton
Nurse Practitioner
NPI 1154896801
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts MedicareSame address
Tanya Hagen-Lee, CNP
Nurse Practitioner
NPI 1336711472
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts MedicareSame address
Xenofon Papadopoulos, M.D.
Urology
NPI 1306943576
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts MedicareSame address
Andrew Reynolds, MD
General Surgery
NPI 1699731901
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-4950
✔ PECOS✔ Accepts MedicareSame address
Maggie Riggs, NP
Nurse Practitioner
NPI 1649831637
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-5711
✔ PECOS✔ Accepts MedicareSame address
Matthew Bosma, DPT
Physical Therapist in Private Practice
NPI 1124477229
910 S EDGERTON
Mitchell, SD 57301
(605) 996-4778
✔ Accepts Medicare2.3 mi
Brooke Graves
Occupational Therapist in Private Practice
NPI 1073054086
910 S EDGERTON ST
Mitchell, SD 57301
(605) 996-4778
✔ Accepts Medicare2.3 mi
Michael Gerlach, MD
Family Practice
NPI 1962476093
818 W HAVENS ST
Mitchell, SD 57301
(605) 996-7526
✔ PECOS✔ Accepts Medicare2.6 mi
Kennedy Weiland
Qualified Speech Language Pathologist
NPI 1396121125
501 W HAVENS AVE SUITE 103
Mitchell, SD 57301
(605) 995-6044
✔ Accepts Medicare2.8 mi
Whitney Kroupa, LCSW-PIP
Clinical Social Worker
NPI 1205200243
1423 N MAIN ST
Mitchell, SD 57301
(605) 494-1500
✔ PECOS✔ Accepts Medicare3.1 mi
Matthew Christiansen, PHD
Clinical Psychologist
NPI 1639136088
115 E HAVENS AVE STE 102
Mitchell, SD 57301
(605) 299-2829
✔ PECOS✔ Accepts Medicare3.1 mi
Lacey Bonte, DNP
Nurse Practitioner
NPI 1780055780
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 996-7000
✔ PECOS3.2 mi
Mandi Greenway, M.D.
Dermatology
NPI 1679830905
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts Medicare3.2 mi
Keri Nebelsick, O.D.
Optometry
NPI 1477840478
211 E HAVENS AVE
Mitchell, SD 57301
(605) 995-5640
✔ PECOS✔ Accepts Medicare3.2 mi
Dalton Baird, MD
Obstetrics/Gynecology
NPI 1295363463
1900 GRASSLAND DR
Mitchell, SD 57301
(214) 820-0111
✔ PECOS✔ Accepts Medicare3.3 mi
Kassidy Boyd, M.D.
Pediatric Medicine
NPI 1629501077
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts Medicare3.3 mi
Maria Ludens, MD
Internal Medicine
NPI 1194475681
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 995-7000
✔ PECOS✔ Accepts Medicare3.3 mi
Dennis Leland, MD
General Surgery
NPI 1467418772
2200 N KIMBALL ST SUITE 200
Mitchell, SD 57301
(605) 996-8989
✔ PECOS✔ Accepts Medicare4.0 mi
Phillip Becker, MD
Anesthesiology
NPI 1427092634
525 N FOSTER ST
Mitchell, SD 57301
(605) 995-2000
✔ PECOS✔ Accepts Medicare4.1 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 1629361720. It was assigned to this organization in the NPPES registry on May 23, 2011. The provider is doing business as Averanow.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 1900 Grassland Dr, Mitchell, SD 57301. The listed phone number is (605) 995-7000.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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, 6 practice at this address and 71 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Avera Queen Of Peace accept?

Health plans from Oscar Insurance Company list Avera Queen Of Peace 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 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.