NPIMap

Individual provider Active NPI

Morgan Michaela Mack

  • Physician Assistant
  • Pipestone, MN
National Provider Identifier
1245915925
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15324 Issued in MN
Practice address
916 4TH Ave SW
Pipestone, MN 56164-1890
Phone
(507) 825-5811
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 15324 MN Primary

Addresses

Primary practice location

916 4TH Ave SW
Pipestone, MN 56164-1890

Mailing address

7900 E Arrowhead Pkwy Apt 328
Sioux Falls, SD 57110-7021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260202002130 MN Practitioner - Physician Assistant 2264910082 Reassigns benefits to 3 organizations
I20260428000755 SD Practitioner - Physician Assistant 2264910082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Pipestone County Medical CenterGroup PAC ID 0840109682, 33 clinicians

Practice addresses (Care Compare)

6100 S Louise Ave
Sioux Falls, SD 57108-6029

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

916 4TH Ave SW
Pipestone, MN 56164-1890
Phone (508) 825-5811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15324MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Multi-Specialty CurrentSince Dec 22, 2025 Accepting new patients
Pipestone County Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Pipestone County Medical Center Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Pipestone County Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Avera McKennan Multi-Specialty CurrentSince Dec 22, 2025 Accepting new patients

Locations

911 5th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

Interoperability endpoints

  • Direct secure messaging: morgan.mack@avera.sdhealthlink.net

Organizations & group practices 7

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

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1245915925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E ARROWHEAD PKWY APT 328",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571107021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641890",
            "telephone_number": "507-825-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "MORGAN",
        "middle_name": "MICHAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pipestone, MN

Sources for this page

Verify at the official NPI Registry.