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AVERA MEDICAL GROUP PIERRE - A DEPT OF AVERA ST MARYS HOSPITAL
NPI 1841505807
Clinic/Center - Multi-Specialty in Pierre, SD

Active since August 16, 2010
100 MAC LN, PIERRE, SD 57501(605) 224-5901(605) 945-3177 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2022, Jul 6, 2021, Aug 4, 2017 (3 updates tracked since 2017).

About Avera Medical Group Pierre - A Dept Of Avera St Marys Hospital NPPES

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

AVERA MEDICAL GROUP PIERRE - A DEPT OF AVERA ST MARYS HOSPITAL (NPI 1841505807) is a healthcare organization registered as a multi-specialty in Pierre, South Dakota and active in the NPI registry since August 2010. The organization lists Mikel Holland, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1841505807
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAVERA ST MARYS
Location Address100 MAC LNPierre, SD 57501-3391
Mailing Address100 Mac LnPierre, SD 57501-3391 · (605) 224-5901 · Fax (605) 945-3177
Phone(605) 224-5901
Fax(605) 945-3177
Organization SubpartNo
Authorized OfficialMikel HollandCeo/president · (605) 224-3144
Enumeration DateAugust 16, 2010
Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1841505807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 10556 (SD)
100 MAC LN, Pierre, SD 57501
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Other Names 1

Doing Business AsAvera Medical Group Pierre - A Dept Of Avera St Marys Hospital

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Avera St Marys Campus Pharmacy carries, from the Medicare DMEPOS supplier directory.

Avera St Marys Campus Pharmacy

DMEPOS supplier · Pierre, SDOperated by Avera St Marys
✔

Accepts Medicare assignment

Avera St Marys Campus Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20532725
Medicare Participant SinceJanuary 1, 2011
Supplier Location100 Mac Ln Ste 101Pierre, SD 57501
Phone(605) 224-7334
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVERA MEDICAL GROUP
Physician Assistant
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
DANIELLE CAMPBELL FNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
DR. NICOLE MARIE POPPINGA M.D.
Pediatrics
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 945-5246
DR. DANIEL R RASMUSSEN DO
Physical Medicine & Rehabilitation
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
JULIE ANN COX CNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
ERICKA LESLIE PETERSEN CNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
DIAGNOSTIC TECHNICAL SERVICES LLC
Clinical Medical Laboratory
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 977-5000
AVERA MCKENNAN
Clinic/Center (Ambulatory Surgical)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901

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 Marys's NPI number?

The NPI number for Avera St Marys is 1841505807. It was assigned to this organization in the NPPES registry on August 16, 2010. The provider is doing business as Avera Medical Group Pierre - A Dept Of Avera St Marys Hospital.

Where is Avera St Marys located?

Avera St Marys is located at 100 Mac Ln, Pierre, SD 57501. The listed phone number is (605) 224-5901.

What is Avera St Marys's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Avera St Marys accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Avera St Marys Campus Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Avera St Marys was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.