AVERA MEDICAL GROUP NPI 1003363490

NPI Information

  • NPI: 1003363490
  • Provider Name: AVERA MEDICAL GROUP
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Organization
  • CLIA Number: 43D2123371
  • Address: 100 MAC LN
    PIERRE, SD
    ZIP 57501
  • Phone: (605) 224-5901

Map and Directions

Get Directions

NPI Details

AVERA MEDICAL GROUP is a physician assistant in Pierre, SD. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. AVERA MEDICAL GROUP NPI is 1003363490. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MAC LN
PIERRE, SD
ZIP 57501-391
Phone: (605) 224-5901

The provider's authorized official is Jenna Zellmer .
The authorized official title is Hr and has the following contact phone number (605) 224-5901.

The CLIA number assigned to this NPI record is 43D2123371 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/2/2016 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant1052SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.