Avera St. Lukes
Organization Active NPI Nephrology Physician · Aberdeen, SD
NPI 1477594430 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1477594430
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- AVERA ST. LUKES
- Practice address
- 310 S Penn St Ste 203
Aberdeen, SD 57401-4553 - Phone
- (605) 622-2895
- Fax
- (605) 622-2896
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Daniel J Bjerknes
- Title
- President/Ceo
- Phone
- (605) 622-5125
Other NPIs on the same Medicare enrollment 39
Corporate family (same tax ID) 24
Practitioners 266
-
Arslan Ahmed, DO
-
Richard B Allen, M.D.
-
Shanna M. Anderson, CNP
-
Deptmer Martin Ashley, M.D.
-
Wylie Leroy Barnes, ACNP
-
James R Barnett, CRNA
-
Julie Berry, PT
-
Lyle W Biegler, MD
-
Kelli Boekelheide, DPT
-
Paul A Bormes, MD
-
Carl Bot, PT
-
Tiffany Bruckner, CNP
-
Grace Caldwell, MD
-
Gregg W Carlson, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120000912 | SD | Part B Supplier - Clinic/Group Practice | 6406764927 |
Receives reassigned benefits from 271 practitioners 39 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Aberdeen, SD; Waubay, SD; Redfield, SD; Mobridge, SD; Groton, SD; Faulkton, SD; Britton, SD |
| O20230213000882 | TX | Part B Supplier - Clinic/Group Practice | 6406764927 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tyler, TX; Plano, TX; Pearland, TX; Friendswood, TX; Coppell, TX |
National Provider Directory
- Tax ID family
- St Luke Mid Reg Hospdm
Locations
201 S Lloyd St
Ste W230
Aberdeen, SD 57401
Phone (605) 622-5471
305 S State St
Ste 113
Aberdeen, SD 57401
Phone (605) 225-0378
201 S Lloyd St
#E201B
Aberdeen, SD 57401
Phone (605) 622-2898
1206 S Main St
Aberdeen, SD 57401
Phone (605) 622-5800
820 1st Ave SE
Ste 100
Aberdeen, SD 57401
Phone (605) 225-1420
201 S Lloyd St
Ste E201A
Aberdeen, SD 57401
Phone (605) 622-2895
3015 6th Ave SE
Ste 11
Aberdeen, SD 57401
Phone (605) 622-2898
201 S Lloyd St
Ste 202
Aberdeen, SD 57401
201 S Lloyd St
Ste E104
Aberdeen, SD 57401
Phone (605) 622-5458
105 S State St
Ste 101
Aberdeen, SD 57401
Phone (605) 225-1945
201 S Lloyd St
Ste W140
Aberdeen, SD 57401
Phone (605) 229-2544
201 S Lloyd St
Ste 270
Aberdeen, SD 57401
Phone (605) 225-4070
815 1st Ave SE
Ste 201
Aberdeen, SD 57401
Phone (605) 622-5123
201 S Lloyd St
Aberdeen, SD 57401
Phone (602) 225-8800
815 S 1st St
Aberdeen, SD 57401
Phone (605) 622-2535
201 S Lloyd St
Ste E102
Aberdeen, SD 57401
Phone (605) 225-4070
201 S Lloyd St
#E203
Aberdeen, SD 57401
Phone (605) 622-4050
501 Bloemendaal Dr
Ipwsich, SD 57451
Phone (605) 426-6458
318 W 5th St
#A
Miller, SD 57362
Phone (605) 853-0343
401 E Highway 12
#2
Webster, SD 57274
Phone (605) 345-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
310 S Penn St Ste 203
Aberdeen, SD 57401-4553
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-4933
Other names
- Avera Medical Group Nephrology Aberdeen
- Avera Nephrology Aberdeen
Other providers in Aberdeen, SD
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Lukes
- Avera St. Lukes
- Awakening Counseling Services, LLC
- Babcock Family Chiropractic, LLC
- Jesse Lee Babcock
- Michael Babcock
All providers in Aberdeen, SD · Nephrology Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.