NPIMap

Individual provider Active NPI

Austen Fagerland

  • Physician Assistant
  • Rapid City, SD
National Provider Identifier
1376816520
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0810 Issued in SD
Practice address
640 Flormann St
Rapid City, SD 57701-4679
Phone
(605) 718-3300
NPI assigned
Feb 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 0810 SD Primary

Addresses

Primary practice location

640 Flormann St
Rapid City, SD 57701-4679

Mailing address

353 Fairmont Blvd
Atten Christie MSS
Rapid City, SD 57701-7375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000495 SD Practitioner - Physician Assistant 7618138819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

1600 S Highline Ave
Sioux Falls, SD 57110-1008

1600 S Highline Ave
Suite 310
Sioux Falls, SD 57110-1007
Phone (605) 322-7600

911 E 20TH St
Suite 300
Sioux Falls, SD 57105-1045
Phone (605) 504-1100

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Avera Sacred Heart Hospital Hospital, Yankton, SD, CCN 430012
  • Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Apr 1, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jun 15, 2015 Accepting new patients
Avera McKennan CurrentSince Apr 1, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 15, 2015 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140

640 Flormann St
Ste 300
Rapid City, SD 57701
Phone (605) 718-3300

1600 S Highline Ave
Ste 310
Sioux Falls, SD 57110
Phone (605) 322-7600

1315 S Cliff Ave
Ste 3000
Sioux Falls, SD 57105
Phone (605) 322-7600

911 E 20th St
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-1300

Organizations & group practices 6

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1376816520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN CHRISTIE MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 FLORMANN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014679",
            "telephone_number": "605-718-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGERLAND",
        "first_name": "AUSTEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.