AVERA ST. LUKE'S
NPI 1720317118
Obstetrics & Gynecology in Aberdeen, SD

Q: What is Avera St. Luke's's NPI number?

The NPI number for Avera St. Luke's is 1720317118. It was assigned to this organization in the NPPES registry on December 14, 2009. The provider is doing business as Avera Medical Group Obstetrics & Gynecology Aberdeen and Avera Obstetrics and Gynecology Aberdeen.

Q: What is Avera St. Luke's's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Avera St. Luke's was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 14, 2009

310 S PENN ST STE 204, ABERDEEN, SD 57401(605) 225-1636(605) 229-2434 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 21, 2026, Aug 18, 2022, Apr 2, 2020 and 2 more (5 updates tracked since 2016).

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About Avera St. Luke's NPPES

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

AVERA ST. LUKE'S (NPI 1720317118), doing business as Avera Medical Group Obstetrics & Gynecology Aberdeen, is a healthcare organization registered as an obstetrics & gynecology in Aberdeen, South Dakota and active in the NPI registry since December 2009. The organization lists Daniel J Bjerknes, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1720317118

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameAVERA ST. LUKE'S

Location Address310 S PENN ST STE 204Aberdeen, SD 57401-4553

Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-4933 · Fax (605) 229-2434

Phone(605) 225-1636

Fax(605) 229-2434

Organization SubpartNo

Authorized OfficialDaniel J BjerknesPresident/ceo · (605) 622-5125

Enumeration DateDecember 14, 2009

Last NPPES UpdateApril 21, 20265 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1720317118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in SD · 10525

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

310 S PENN ST STE 204, Aberdeen, SD 57401

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Other Names 2

Doing Business AsAvera Medical Group Obstetrics & Gynecology Aberdeen

Doing Business AsAvera Obstetrics And Gynecology Aberdeen

Other Identifiers 2

Other43D0407595SD · Clia

OtherS101808SD · Medicare Ptan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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)

Avera St. Luke's is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

258

Medicare enrollment records show 258 clinicians reassign Medicare billing to Avera St. Luke's, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 106 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner32

Internal Medicine31

Anesthesiology27

Certified Registered Nurse Anesthetist (CRNA)25

Physical Therapist in Private Practice18

Family Practice15

Orthopedic Surgery13

Pathology12

20 other specialties85

Nearest to this location (20)

See all 258

Tage Born, MD

Obstetrics/Gynecology

NPI 1063596245

310 S PENN ST SUITE 204
Aberdeen, SD 57401

(605) 225-1636

✔ PECOS✔ Accepts MedicareSame address

Kristine Fastenau, NP

Nurse Practitioner

NPI 1083354393

310 S PENN ST STE 203
Aberdeen, SD 57401

(605) 225-7326

✔ PECOS✔ Accepts MedicareSame address

Alisa Hogue, CNP

Nurse Practitioner

NPI 1093753956

310 S PENN ST SUITE 202
Aberdeen, SD 57401

(605) 622-2895

✔ PECOS✔ Accepts MedicareSame address

George Kiser, MD

Urology

NPI 1316935638

310 S PENN ST STE 202
Aberdeen, SD 57401

(605) 225-7326

✔ PECOSSame address

Christopher Larson

General Surgery

NPI 1295990141

310 S PENN ST SUITE 201
Aberdeen, SD 57401

(605) 229-1367

✔ PECOS✔ Accepts MedicareSame address

Eric Leichter, MD

Urology

NPI 1295822104

310 S PENN ST STE 203
Aberdeen, SD 57401

(605) 622-5475

✔ PECOS✔ Accepts MedicareSame address

Madison Mitzel, CNP

Nurse Practitioner

NPI 1336071828

310 S PENN ST STE 203
Aberdeen, SD 57401

(605) 622-2573

✔ PECOS✔ Accepts MedicareSame address

Christopher Nelson, ACNP-BC

Nurse Practitioner

NPI 1720376825

310 S PENN ST SUITE 105
Aberdeen, SD 57401

(605) 622-8700

✔ PECOS✔ Accepts MedicareSame address

Allisa Richter, CNP

Nurse Practitioner

NPI 1760261465

310 S PENN ST STE 202
Aberdeen, SD 57401

(605) 622-2573

Same address

Ashley Spiering, CNP

Nurse Practitioner

NPI 1407746787

310 S PENN ST STE 202
Aberdeen, SD 57401

(605) 622-2573

✔ PECOS✔ Accepts MedicareSame address

Chad Stapp, DPM

Podiatry

NPI 1952438996

310 S PENN ST STE 203
Aberdeen, SD 57401

(605) 622-2570

✔ PECOS✔ Accepts MedicareSame address

Susheel Gundewar, M.D.

Cardiovascular Disease (Cardiology)

NPI 1639364581

310 S PENN ST STE 203
Aberdeen, SD 57401

(605) 622-2573

✔ PECOS✔ Accepts MedicareSame address

Christine Stehly, MD

Obstetrics/Gynecology

NPI 1811085970

310 S PENN ST SUITE 204
Aberdeen, SD 57401

(605) 225-1636

✔ PECOS✔ Accepts MedicareSame address

Roger Werth, MD

General Surgery

NPI 1245216118

310 S PENN ST
Aberdeen, SD 57401

(605) 229-1367

✔ PECOSSame address

Tiffany Bruckner, CNP

Nurse Practitioner

NPI 1801201439

201 S LLOYD ST STE E201
Aberdeen, SD 57401

(605) 622-2545

✔ PECOS✔ Accepts Medicare0.1 mi

Gregg Carlson, MD

Obstetrics/Gynecology

NPI 1043378912

310 S PENN ST STE 204
Aberdeen, SD 57401

(605) 225-1636

✔ PECOS✔ Accepts Medicare0.1 mi

Lukman Cheraghvandi

Pathology

NPI 1700439197

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5000

✔ PECOS✔ Accepts Medicare0.1 mi

Alicia Floyd, M.D.

Internal Medicine

NPI 1033408505

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5000

✔ PECOS✔ Accepts Medicare0.1 mi

Hasan Khan, MD

Diagnostic Radiology

NPI 1366002487

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5000

✔ PECOS✔ Accepts Medicare0.1 mi

Ryan Kurtz, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1891889622

305 S STATE ST
Aberdeen, SD 57401

(605) 622-5000

✔ Accepts Medicare0.1 mi

See all 258 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 St. Luke's's NPI number?

The NPI number for Avera St. Luke's is 1720317118. It was assigned to this organization in the NPPES registry on December 14, 2009. The provider is doing business as Avera Medical Group Obstetrics & Gynecology Aberdeen and Avera Obstetrics and Gynecology Aberdeen.

Where is Avera St. Luke's located?

Avera St. Luke's is located at 310 S Penn St Ste 204, Aberdeen, SD 57401. The listed phone number is (605) 225-1636.

What is Avera St. Luke's's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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). Of these, 14 practice at this address and 106 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Avera St. Luke's accept?

Health plans from Avera Health Plans and Medica list Avera St. Luke's 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 St. Luke's was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.