Individual provider Active NPI

Amelia Kay Rew, PA-C

  • Physician Assistant
  • Mitchell, SD
National Provider Identifier
1316421084
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1164 Issued in SD
Practice address
625 N Foster St Ste 200
Mitchell, SD 57301-2968
Phone
(605) 995-6700
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 1164 SD Primary

Addresses

Primary practice location

625 N Foster St Ste 200
Mitchell, SD 57301-2968

Mailing address

625 N Foster St Ste 200
Mitchell, SD 57301-2968
Phone (605) 995-6700

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
I20181126001423 SD Practitioner - Physician Assistant 6002160330 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1164SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Sep 10, 2018 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 2, 2019 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 2, 2019 Accepting new patients
Avera Queen of Peace CurrentSince Nov 1, 2025 Accepting new patients
Avera Queen of Peace CurrentSince Sep 10, 2018 Accepting new patients

Locations

1900 Grassland Dr
Mitchell, SD 57301
Phone (605) 655-1220

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

625 N Foster St
Ste 200
Mitchell, SD 57301
Phone (605) 996-1800

Interoperability endpoints

  • Direct secure messaging: amelia.rew@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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1316421084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST STE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012968",
            "telephone_number": "605-995-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST STE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012968",
            "telephone_number": "605-995-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REW",
        "first_name": "AMELIA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.