Avera Gettysburg
NPI 1366091357ActiveOrganization· Internal Medicine· Gettysburg, SD
Internal Medicine in Gettysburg, South Dakota, registered in NPPES in September 2019. The authorized official on file is Shantel Krebs, Interim Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366091357 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2019 |
| Last updated in NPPES | Apr 24, 2023 |
| Certified by provider | Apr 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (SD) |
|---|