MARSHALL COUNTY MEDICAL CLINIC AVERA
NPI 1659438828
Family Medicine in Britton, SD
About Marshall County Medical Clinic Avera NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARSHALL COUNTY MEDICAL CLINIC AVERA (NPI 1659438828) is a healthcare organization registered as a family medicine in Britton, South Dakota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Ron L Jacobson, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Marshall County Medical Clinic Avera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
258Medicare enrollment records show 258 clinicians reassign Medicare billing to Marshall County Medical Clinic Avera, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 258Source: 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 43D0407681
Marshall County Medical Clinic · Britton, 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 Avera St. Luke's's NPI number?
The NPI number for Avera St. Luke's is 1659438828. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Marshall County Medical Clinic Avera.
Where is Avera St. Luke's located?
Avera St. Luke's is located at 415 9th St, Britton, SD 57430. The listed phone number is (605) 448-5953.
What is Avera St. Luke's's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Avera St. Luke's enrolled in Medicare?
Yes. Avera St. Luke's is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avera St. Luke's?
According to the CMS Revalidation Reassignment List (October 2026 release), 258 clinicians in 28 Medicare specialties reassign their Medicare billing to Avera St. Luke's. 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 (32), Internal Medicine (31) and Anesthesiology (27). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avera St. Luke's hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D0407681) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Avera St. Luke's was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Marshall County Medical Clinic Avera · NPI 1659438828
Family Medicine organization in Britton, South Dakota. Organization record, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1659438828 (Entity type: Organization)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Avera St. Luke's
- **Organization subpart:** No
- **Authorized official:** Ron Jacobson, PRESIDENT AND CEO
## Practice location
- **Address:** 415 9TH ST, Britton, SD 57430-2274
- **Phone:** (605) 448-5953 · **Fax:** (605) 448-2304
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 258 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Internal Medicine (31), Anesthesiology (27); [full list](https://npiprofile.com/npi/1659438828/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2011
- **Other identifiers:** Other 9172758; Medicare ID-Type Unspecified S7313 (SD); Medicaid 13974 (ND)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659438828) · Data from the CMS NPPES public registry.