Avera St Marys
NPI 1720326713ActiveOrganization· Clinic/Center, Multi-Specialty· Pierre, SD
Clinic/Center, Multi-Specialty in Pierre, South Dakota, registered in NPPES in January 2013, part of Avera St Marys. The authorized official on file is Shantel Krebs, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720326713 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Avera St Marys |
| NPI issued | Jan 25, 2013 |
| Last updated in NPPES | Jul 1, 2025 |
| Certified by provider | Jul 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| General Acute Care Hospital | 282N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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