Individual provider Active NPI

Jennifer Lee Byer, PA-C

  • Physician Assistant
  • Watertown, SD
National Provider Identifier
1487973525
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC1003 Issued in ND
Practice address
901 4TH St NW
Watertown, SD 57201-1558
Phone
(605) 886-8471
NPI assigned
May 28, 2010
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC1003 ND Primary
Physician Assistant 363A00000X 1178 SD

Addresses

Primary practice location

901 4TH St NW
Watertown, SD 57201-1558

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

506 1st Ave SE
Watertown, SD 57201-4499
Phone (605) 886-8482

Other practice location 2

101 Peabody Dr
Webster, SD 57274-1061
Phone (605) 345-4141

Other practice location 3

5225 23rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

Other names 1

  • Jennifer Lee Berg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190325001967 SD Practitioner - Physician Assistant 9133359789 Reassigns benefits to 11 organizations
I20230707002363 ND Practitioner - Physician Assistant 9133359789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

101 Peabody Dr
Webster, SD 57274-1061
Phone (605) 226-5500

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

901 4TH St NW
Watertown, SD 57201-1558
Phone (605) 886-8471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1178SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Oct 12, 2020 Accepting new patients
Sanford Medical Center Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients
City of Brookings Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 26, 2023 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
City of Redfield CurrentSince Dec 12, 2025 Accepting new patients
Avera McKennan CurrentSince Oct 12, 2020 Accepting new patients
Sanford Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 26, 2023 Accepting new patients
City of Redfield CurrentSince Dec 12, 2025 Accepting new patients
Sanford Health Network CurrentSince Jan 6, 2025 Accepting new patients
Sanford Health Network Physician Assistant CurrentSince Jan 6, 2025 Accepting new patients
Rural Health Care, Inc CurrentSince Oct 12, 2020 Accepting new patients
Rural Health Care, Inc. CurrentSince Oct 12, 2020 Accepting new patients
City of Brookings CurrentSince Aug 14, 2022 Accepting new patients
Avera McKennan Past Accepting new patients
Sanford Medical Center Past Accepting new patients

Locations

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

101 S Front St
Chamberlain, SD 57325
Phone (605) 234-6584

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

1010 W 1st St
Redfield, SD 57469
Phone (605) 472-0510

111 W 10th Ave
Redfield, SD 57469
Phone (605) 472-1110

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

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

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

901 4th St NW
Watertown, SD 57201
Phone (605) 882-8780

101 Peabody Dr
Webster, SD 57274
Phone (605) 226-5500

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 6

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1487973525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 4TH ST NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011558",
            "telephone_number": "605-886-8471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 1st Ave SE",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "SD",
            "postal_code": "572014499",
            "country_code": "US",
            "telephone_number": "605-886-8482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Peabody Dr",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "SD",
            "postal_code": "572741061",
            "country_code": "US",
            "telephone_number": "605-345-4141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 23rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581047927",
            "country_code": "US",
            "telephone_number": "701-417-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYER",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC1003",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERG",
            "middle_name": "LEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.