Avera Medical Group
NPI 1003363490ActiveOrganization· Physician Assistant· Pierre, SD
Physician Assistant in Pierre, South Dakota, registered in NPPES in September 2016, part of Avera. The authorized official on file is Jenna Zellmer, Hr.
Overview
| NPI | 1003363490 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Avera |
| NPI issued | Sep 2, 2016 |
| Last updated in NPPES | Sep 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1052 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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