AVERA ST. LUKE'S FASTCARE SHOPKO
NPI 1871728501
Family Medicine in Aberdeen, SD
About Avera St. Luke's Fastcare Shopko NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA ST. LUKE'S FASTCARE SHOPKO (NPI 1871728501) is a healthcare organization registered as a family medicine in Aberdeen, South Dakota and active in the NPI registry since May 2009. The organization lists Ron L Jacobson, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Avera St. Luke's Fastcare Shopko 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 Avera St. Luke's Fastcare Shopko, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 106 within 10 miles. 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.
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 1871728501. It was assigned to this organization in the NPPES registry on May 26, 2009. The provider is doing business as Avera St. Luke's Fastcare Shopko.
Where is Avera St. Luke's located?
Avera St. Luke's is located at 500 N Highway 281, Aberdeen, SD 57401. The listed phone number is (605) 622-2856.
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). Of these, 1 practice at this address and 106 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 St. Luke's was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Avera St. Luke's Fastcare Shopko · NPI 1871728501
Family Medicine organization in Aberdeen, South Dakota. Organization record, active in the CMS NPPES registry since May 26, 2009.
## Identity
- **NPI:** 1871728501 (Entity type: Organization)
- **Enumerated:** May 26, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Avera St. Luke's
- **Organization subpart:** No
- **Authorized official:** Ron Jacobson, PRESIDENT & CEO
## Practice location
- **Address:** 500 N HIGHWAY 281, Aberdeen, SD 57401-1821
- **Phone:** (605) 622-2856 · **Fax:** (605) 622-5963
## 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); 1 practice at this address and 106 within 10 miles; [full list](https://npiprofile.com/npi/1871728501/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2011
- **Other identifiers:** Medicare PIN S101808 (SD)
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Source: [NPI Profile](https://npiprofile.com/npi/1871728501) · Data from the CMS NPPES public registry.