Avera Queen of Peace
NPI 1629361720ActiveOrganization· Physician Assistant· Mitchell, SD
Physician Assistant in Mitchell, South Dakota, registered in NPPES in May 2011. The authorized official on file is Douglas Ekeren, President/Ceo.
Overview
| NPI | 1629361720 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2011 |
| Last updated in NPPES | Aug 20, 2020 |
| Certified by provider | Aug 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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