Individual provider Active NPI

Michele Olivia Hoellein, PAC

  • Physician Assistant
  • Aberdeen, SD
National Provider Identifier
1184143232
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1114 Issued in SD
Practice address
105 S State St Ste 113
Aberdeen, SD 57401-4502
Phone
(605) 225-0378
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1114 SD Primary

Addresses

Primary practice location

105 S State St Ste 113
Aberdeen, SD 57401-4502

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-2876

Other practice location 1

815 1st Ave SE Ste 104
Aberdeen, SD 57401-4602
Phone (605) 622-5458

Other names 1

  • Michele Olivia Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025000776 SD Practitioner - Physician Assistant 9638445331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Sanford School of Medicine of University of South Dakota, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians
Marshall County Memorial HospitalGroup PAC ID 2668567215, 11 clinicians

Practice addresses (Care Compare)

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

310 S Penn St
Aberdeen, SD 57401-4553

413 9TH St
Britton, SD 57430-2274

415 9TH St
Britton, SD 57430-2274
Phone (605) 448-5853

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

809 11TH Ave
PO Box 504
Britton, SD 57430-0504

Hospital & facility affiliations

  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Marshall County Healthcare Center - Cah Hospital, Britton, SD, CCN 431312
  • Mobridge Regional Hospital - Cah Hospital, Mobridge, SD, CCN 431325
  • Community Memorial Hospital Hospital, Redfield, SD, CCN 431316
  • Bowdle Hospital - Cah Hospital, Bowdle, SD, CCN 431318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1114SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke'S CurrentSince Oct 6, 2017 Accepting new patients
Marshall County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Avera St. Lukes CurrentSince Oct 6, 2017 Accepting new patients
Avera St Lukes Past Accepting new patients

Locations

105 S State St
Ste 113
Aberdeen, SD 57401
Phone (605) 225-0378

310 S Pennsylvania St
Ste 202
Aberdeen, SD 57401
Phone (605) 225-1133

815 1st Ave SE
Ste 104
Aberdeen, SD 57401
Phone (605) 225-0378

413 9th St
Britton, SD 57430
Phone (605) 448-2253

Interoperability endpoints

  • Direct secure messaging: michele.hoellein@avera.sdhealthlink.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184143232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-2876",
            "fax_number": "605-622-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S STATE ST STE 113",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014502",
            "telephone_number": "605-225-0378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 1st Ave SE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574014602",
            "country_code": "US",
            "telephone_number": "605-622-5458",
            "fax_number": "605-622-5473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOELLEIN",
        "first_name": "MICHELE",
        "middle_name": "OLIVIA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "ROGERS",
            "middle_name": "OLIVIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.