Avera Queen of Peace
NPI 1053557967 · Physician Assistant · De Smet, SD
Avera Queen of Peace is a Physician Assistant organization in De Smet, SD (NPI 1053557967).
Provider details
- NPI number
- 1053557967
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Patrick Clark, Senior Vice President and Cfo(605) 995-2251
- License
- 0232SD (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Avera Hoek Medical Clinic
Registry dates
- Enumerated
- 2008-12-23
- Last updated
- 2010-03-01
Frequently asked questions
- What is Avera Queen of Peace's NPI number?
- Avera Queen of Peace's National Provider Identifier (NPI) is 1053557967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avera Queen of Peace?
- Avera Queen of Peace is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Avera Queen of Peace located?
- Avera Queen of Peace's practice location on file with NPPES is 115 Second St Se, De Smet, SD 57231-0463.
- What is Avera Queen of Peace's phone number?
- The practice phone number listed in the NPPES registry for Avera Queen of Peace is (605) 854-3834.
- Who is the authorized official for Avera Queen of Peace?
- The authorized official listed on Avera Queen of Peace's NPPES record is Patrick Clark, Senior Vice President and Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avera Queen of Peace's NPI active?
- Yes — Avera Queen of Peace's NPI (1053557967) is active in the NPPES registry as of the last update on 2010-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.