AVERA QUEEN OF PEACE
NPI 1881049484
Dermatology in Mitchell, SD

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

The NPI number for Avera Queen Of Peace is 1881049484. It was assigned to this organization in the NPPES registry on May 2, 2016. The provider is doing business as Avera Dermatology Mitchell and Avera Medical Group Dermatology Mitchell.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since May 02, 2016

1900 GRASSLAND DR, MITCHELL, SD 57301(605) 995-7000(605) 995-7018 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2026, Aug 20, 2020, Mar 31, 2020 (3 updates tracked since 2020).

On this page

About Avera Queen Of Peace NPPES

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

AVERA QUEEN OF PEACE (NPI 1881049484), doing business as Avera Dermatology Mitchell, is a healthcare organization registered as a dermatology in Mitchell, South Dakota and active in the NPI registry since May 2016. The organization lists Hilary R. Rockwell, Regional President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1881049484

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameAVERA QUEEN OF PEACE

Location Address1900 GRASSLAND DRMitchell, SD 57301-6205

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

Phone(605) 995-7000

Fax(605) 995-7018

Organization SubpartYesParent: Avera Health

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

Enumeration DateMay 2, 2016

Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1881049484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1900 GRASSLAND DR, Mitchell, SD 57301

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Other Names 2

Doing Business AsAvera Dermatology Mitchell

Doing Business AsAvera Medical Group Dermatology Mitchell

Other Identifiers 1

OtherS1639SD · 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.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 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, 8 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

Dalton Baird, MD

Obstetrics/Gynecology

NPI 1295363463

1900 GRASSLAND DR
Mitchell, SD 57301

(214) 820-0111

✔ PECOS✔ Accepts MedicareSame address

Kassidy Boyd, M.D.

Pediatric Medicine

NPI 1629501077

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 995-7000

✔ PECOS✔ Accepts MedicareSame address

Charissa Etrheim

Family Practice

NPI 1578192423

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 995-7000

✔ PECOS✔ Accepts MedicareSame address

Biruk Gote, MD

Pediatric Medicine

NPI 1851020481

1900 GRASSLAND DR SUITE 103
Mitchell, SD 57301

(605) 995-4900

✔ PECOSSame address

Grace Grabenstein, OD

Optometry

NPI 1932087343

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 995-5640

✔ PECOS✔ Accepts MedicareSame address

Michael Jesch, AGPCNP-BC

Nurse Practitioner

NPI 1295169290

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 995-4940

✔ PECOS✔ Accepts MedicareSame address

Maria Ludens, MD

Internal Medicine

NPI 1194475681

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 995-7000

✔ PECOS✔ Accepts MedicareSame address

Ty Moody, MD

Internal Medicine

NPI 1932787017

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 995-7000

✔ PECOS✔ Accepts MedicareSame address

Lacey Bonte, DNP

Nurse Practitioner

NPI 1780055780

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 996-7000

✔ PECOS0.1 mi

Mandi Greenway, M.D.

Dermatology

NPI 1679830905

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 995-7000

✔ PECOS✔ Accepts Medicare0.1 mi

Nathan Timmer, MD

Family Practice

NPI 1972890911

402 E NORWAY AVE
Mitchell, SD 57301

(605) 990-5005

✔ PECOS✔ Accepts Medicare0.3 mi

Whitney Kroupa, LCSW-PIP

Clinical Social Worker

NPI 1205200243

1423 N MAIN ST
Mitchell, SD 57301

(605) 494-1500

✔ PECOS✔ Accepts Medicare0.5 mi

Meghan Torgerson, FNP-C

Nurse Practitioner

NPI 1134584584

1130 S BURR ST STE 150
Mitchell, SD 57301

(530) 301-8688

✔ PECOS✔ Accepts Medicare0.7 mi

Betsy Van Genderen, CNP

Nurse Practitioner

NPI 1780865626

2100 HIGHLAND WAY STE K
Mitchell, SD 57301

(605) 996-0440

✔ PECOS✔ Accepts Medicare0.7 mi

Keri Nebelsick, O.D.

Optometry

NPI 1477840478

211 E HAVENS AVE
Mitchell, SD 57301

(605) 995-5640

✔ PECOS✔ Accepts Medicare0.8 mi

Matthew Christiansen, PHD

Clinical Psychologist

NPI 1639136088

115 E HAVENS AVE STE 102
Mitchell, SD 57301

(605) 299-2829

✔ PECOS✔ Accepts Medicare0.8 mi

Laura Assmus

Physical Therapist in Private Practice

NPI 1699125419

501 W HAVENS AVE SUITE 103
Mitchell, SD 57301

(605) 995-6044

0.9 mi

Christine Hildebrandt

Physical Therapist in Private Practice

NPI 1811205305

501 W HAVENS AVE SUITE 103
Mitchell, SD 57301

(605) 995-6044

✔ Accepts Medicare0.9 mi

Rebecca Weich, OT

Occupational Therapist in Private Practice

NPI 1477750008

501 W HAVENS AVE SUITE 103
Mitchell, SD 57301

(605) 995-6044

✔ Accepts Medicare0.9 mi

Kennedy Weiland

Qualified Speech Language Pathologist

NPI 1396121125

501 W HAVENS AVE SUITE 103
Mitchell, SD 57301

(605) 995-6044

✔ Accepts Medicare0.9 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 1881049484. It was assigned to this organization in the NPPES registry on May 2, 2016. The provider is doing business as Avera Dermatology Mitchell and Avera Medical Group Dermatology Mitchell.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 1900 Grassland Dr, Mitchell, SD 57301. The listed phone number is (605) 995-7000.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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, 8 practice at this address and 71 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Avera Queen Of Peace accept?

Health plans from Avera Health Plans list Avera Queen Of Peace 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 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.