Avera St Marys
Organization Active NPI Community Health Worker · Pierre, SD
NPI 1558280263 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1558280263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Worker 172V00000X
- Legal business name
- AVERA ST MARYS
- Practice address
- 801 E Sioux Ave
Pierre, SD 57501-3323 - Phone
- (605) 224-3100
- NPI assigned
- Jul 15, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- AVERA ST MARYS
Authorized official
- Name
- Shantel Krebs
- Title
- Regional President & Ceo
- Phone
- (605) 351-5916
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Jon Vandermaten PA C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | Yes |
Addresses
Primary practice location
801 E Sioux Ave
Pierre, SD 57501-3323
Mailing address
801 E Sioux Ave
Pierre, SD 57501-3323
Other providers in Pierre, SD
- Avera Medical Group
- Avera St Marys
- Avera St Marys
- Avera St Marys
- Avera St Marys
- Avera St Marys
- Avera St Marys
- Avera St Marys
- Avera St Marys
- Avera St Marys
All providers in Pierre, SD · Community Health Worker 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 Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.