AVERA QUEEN OF PEACE
NPI 1639945157
Otolaryngology in Mitchell, SD

Q: What is Avera Queen Of Peace's NPI number?

The NPI number for Avera Queen Of Peace is 1639945157. It was assigned to this organization in the NPPES registry on November 27, 2023. The provider is doing business as Avera Ear, Nose and Throat Mitchell and Avera Medical Group Ear, Nose And Throat Mitchell.

Q: What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since November 27, 2023

625 N FOSTER ST STE 203, MITCHELL, SD 57301(605) 996-8386(605) 996-9153 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Avera Queen Of Peace NPPES

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

AVERA QUEEN OF PEACE (NPI 1639945157), doing business as Avera Ear, Nose And Throat Mitchell, is a healthcare organization registered as an otolaryngology in Mitchell, South Dakota and active in the NPI registry since November 2023. The organization lists Hilary R. Rockwell, Regional President/ceo, as its authorized official.

NPPES Registry Identity

NPI1639945157

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameAVERA QUEEN OF PEACE

Location Address625 N FOSTER ST STE 203Mitchell, SD 57301-2969

Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-4933 · Fax (605) 504-9489

Phone(605) 996-8386

Fax(605) 996-9153

Organization SubpartYesParent: Avera Health

Authorized OfficialHilary R. RockwellRegional President/ceo · (605) 995-2200

Enumeration DateNovember 27, 2023

Last NPPES UpdateJanuary 22, 2026

NPPES CertifiedJanuary 22, 2026

✔ NPI 1639945157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

625 N FOSTER ST STE 203, Mitchell, SD 57301

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Other Names 2

Doing Business AsAvera Ear, Nose And Throat Mitchell

Doing Business AsAvera Medical Group Ear, Nose And Throat Mitchell

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 SINGLE SPECIALTY GROUP

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 Queen Of Peace 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 Queen Of Peace, which bills Medicare for the services they deliver. Of these, 10 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

Sarah Bauer, NP

Nurse Practitioner

NPI 1598241820

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ PECOS✔ Accepts MedicareSame address

Jessica Claussen, MD

Ophthalmology

NPI 1700014412

625 N FOSTER ST STE 202
Mitchell, SD 57301

(605) 995-6393

✔ PECOS✔ Accepts MedicareSame address

Jayden Bormann

Occupational Therapist in Private Practice

NPI 1457249500

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

Same address

Ahna Buntrock, MD

Obstetrics/Gynecology

NPI 1073182069

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ PECOS✔ Accepts MedicareSame address

Christopher Haiar

Qualified Speech Language Pathologist

NPI 1902733629

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-6373

Same address

Baylee Wenande, CNP

Nurse Practitioner

NPI 1457174625

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2243

✔ PECOS✔ Accepts MedicareSame address

Michael Krause, D.O.

Obstetrics/Gynecology

NPI 1073626115

625 N FOSTER ST STE 108
Mitchell, SD 57301

(605) 990-1995

✔ PECOS✔ Accepts MedicareSame address

William Graham, D.O.

Otolaryngology

NPI 1558450254

625 N FOSTER ST SUITE 203
Mitchell, SD 57301

(605) 996-8386

✔ PECOS✔ Accepts MedicareSame address

Brian Kampmann, MD

Orthopedic Surgery

NPI 1801014956

625 N FOSTER ST SUITE 200
Mitchell, SD 57301

(605) 996-3963

✔ PECOS✔ Accepts MedicareSame address

Chris Krouse, DO

Orthopedic Surgery

NPI 1508870619

625 N FOSTER ST SUITE 107
Mitchell, SD 57301

(605) 996-3963

✔ PECOS✔ Accepts MedicareSame address

Phillip Becker, MD

Anesthesiology

NPI 1427092634

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ PECOS✔ Accepts Medicare0.1 mi

Stephanie Flippin

Occupational Therapist in Private Practice

NPI 1750721296

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ Accepts Medicare0.1 mi

Heidi Gehrke

Nurse Practitioner

NPI 1083991012

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ PECOS✔ Accepts Medicare0.1 mi

Michael Haley, MD

Anesthesiology

NPI 1801819461

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ PECOS✔ Accepts Medicare0.1 mi

Julie Hegg

Certified Registered Nurse Anesthetist (CRNA)

NPI 1740260579

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ Accepts Medicare0.1 mi

Jonathan Kludt

Physical Therapist in Private Practice

NPI 1518307271

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ Accepts Medicare0.1 mi

Cheri Knight

Physical Therapist in Private Practice

NPI 1245670819

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

0.1 mi

James Nielsen, M.D.

Emergency Medicine

NPI 1205806460

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ PECOS0.1 mi

Penny Petersen

Nurse Practitioner

NPI 1114907979

525 N FOSTER ST
Mitchell, SD 57301

(605) 995-2000

✔ PECOS0.1 mi

Lucio Margallo, MD

Internal Medicine

NPI 1639271034

1115 E 5TH AVE
Mitchell, SD 57301

(605) 996-5553

✔ PECOS✔ Accepts Medicare0.1 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 1639945157. It was assigned to this organization in the NPPES registry on November 27, 2023. The provider is doing business as Avera Ear, Nose and Throat Mitchell and Avera Medical Group Ear, Nose And Throat Mitchell.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 625 N Foster St Ste 203, Mitchell, SD 57301. The listed phone number is (605) 996-8386.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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, 10 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 January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.