OrganizationActive
Avera Medical Group
NPI 1003363490 · Physician Assistant · Pierre, SD
Provider details
- NPI number
- 1003363490
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Avera
- Organization subpart
- Yes
- Authorized official
- Jenna Zellmer, Hr(605) 224-5901
- License
- 1052 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Mac Ln
Pierre, SD 57501-3391
Phone: (605) 224-5901
Approximate (ZIP-level) locationGet directions
Mailing address
100 Mac Ln
Pierre, SD 57501-3391
Registry dates
- Enumerated
- 2016-09-02
- Last updated
- 2016-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.