Individual provider Active NPI

Alexandra Sue Gauer, DO

  • Family Medicine Physician
  • Watertown, SD
National Provider Identifier
1336888403
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17663 Issued in SD
Practice address
511 14TH Ave NE
Watertown, SD 57201-6811
Phone
(605) 886-8482
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125079748 IL
Family Medicine Physician 207Q00000X 17663 SD Primary

Addresses

Primary practice location

511 14TH Ave NE
Watertown, SD 57201-6811

Mailing address

506 1St Ave SE
Watertown, SD 57201-4402
Phone (605) 886-8482

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911003539 SD Practitioner - Family Practice 7517345309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prairie Lakes Health Care System IncGroup PAC ID 8628987823, 111 clinicians

Practice addresses (Care Compare)

511 14TH Ave NE
Watertown, SD 57201-6811
Phone (605) 886-8482

Hospital & facility affiliations

  • Prairie Lakes Home Health Home health agency, Watertown, SD, CCN 437019
  • Prairie Lakes Hospice Hospice, Watertown, SD, CCN 431504
  • Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
  • Avantara Watertown Nursing home, Watertown, SD, CCN 435068
  • Jenkin'S Living Center Nursing home, Watertown, SD, CCN 435036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Lakes Health Care System Inc Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Aug 11, 2025 Accepting new patients
Watertown SD Skilled Nursing Facility LLC Past Accepting new patients
Prairie Lakes Health Care System Inc Family Medicine Past Accepting new patients

Locations

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

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

511 14th Ave NE
Watertown, SD 57201
Phone (605) 330-9619

Organizations & group practices 4

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1336888403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014402",
            "telephone_number": "605-886-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016811",
            "telephone_number": "605-886-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUER",
        "first_name": "ALEXANDRA",
        "middle_name": "SUE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125079748",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "17663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.