Individual provider Active NPI

Abby M Gietzen, PA-C

  • Physician Assistant
  • Brookings, SD
National Provider Identifier
1205225661
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0971 Issued in SD
Practice address
310 22ND Ave
Brookings, SD 57006-2474
Phone
(605) 696-2700
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0971 SD Primary

Addresses

Primary practice location

310 22ND Ave
Brookings, SD 57006-2474

Mailing address

310 22ND Ave
Brookings, SD 57006-2474
Phone (605) 696-2700

Other identifiers 1

IdentifierTypeStateIssuer
0971OtherSDSTATE LICENSE

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
I20150423002184 SD Practitioner - Physician Assistant 8527386515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1201 Mickelson Dr
Watertown, SD 57201-7231
Phone (605) 882-4743

172 4TH St SE
Huron, SD 57350-2510
Phone (605) 353-6200

401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000

6701 S Minnesota Ave
Sioux Falls, SD 57108-2591
Phone (605) 322-6960

922 22ND Ave S
Brookings, SD 57006-2830
Phone (605) 697-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.59 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
85.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0971SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Lakes Health Care System Inc Physician Assistant CurrentSince Feb 3, 2020 Accepting new patients

Locations

922 22nd Ave S
Brookings, SD 57006
Phone (605) 697-1900

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

506 1st Ave SE
Watertown, SD 57201
Phone (605) 884-4247

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1205225661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062474",
            "telephone_number": "605-696-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062474",
            "telephone_number": "605-696-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIETZEN",
        "first_name": "ABBY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0971",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.