Amber Evenson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1011 Issued in SD

Practice address

410 W 16TH Ave
Tyndall, SD 57066-2318

Phone

(605) 589-2190

Fax

(605) 589-4603

NPI assigned

Sep 15, 2015

Last updated

May 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.evenson@avera.sdhealthlink.net

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.

• Rural Health Care, Inc.

  dba Access Health - Murdo

  • Federally Qualified Health Center (FQHC)
  • Murdo, SD
  • NPI 1720076441
  Medicare reassignment Care Compare group NPD (past)
• Avera Queen of Peace

  dba AMG Hospitalists Mitchell

  • Hospitalist Physician
  • Mitchell, SD
  • NPI 1205359031
  Medicare reassignment
• Avera Queen of Peace

  dba Avera Weskota Memorial Medical Center

  • Critical Access Hospital
  • Wessington Springs, SD
  • NPI 1316942204
  NPD
• Avera Queen of Peace

  dba Avera Medical Group Radiation Oncology Mitchell

  • Radiation Oncology Physician
  • Mitchell, SD
  • NPI 1962927269
  NPD
• Rural Health Care, Inc

  dba Access Health - Mitchell

  • Federally Qualified Health Center (FQHC)
  • Mitchell, SD
  • NPI 1669027678
  NPD

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

• Avera Queen of Peace

  dba Avera Queen of Peace Hospital

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Care Compare affiliation

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1285003772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BON HOMME FAMILY PRACTICE",
            "address_2": "410 W 16TH AVE",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570665209",
            "telephone_number": "605-589-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 16TH AVE",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570662318",
            "telephone_number": "605-589-2190",
            "fax_number": "605-589-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 E 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573012917",
            "country_code": "US",
            "telephone_number": "605-996-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVENSON",
        "first_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010785",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Burtz, DDS
• City Auditor & Light & Water (City of Tyndall Ambulance)
• Scott A Crouse, RPH
• Karl S Demarco, MD
• Taylor Diede
• First Chiropractic Centers, PC (First Chiropractic Center)
• Laura Elizabeth Foster, OTR/L
• Lauri Jean Gemar-Rothschadl, P.T.
• Lori Hajek
• Kimberly Hinz, PA-C

• Physician Assistant in Tyndall, SD
• Providers in Tyndall, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.