Individual provider Active NPI

Jean Thompson, PA

  • Physician Assistant
  • Huron, SD
National Provider Identifier
1659353282
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0069 Issued in SD
Practice address
172 4TH St SE
Huron, SD 57350-2510
Phone
(605) 353-6200
Fax
(605) 353-6593
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0069 SD Primary

Addresses

Primary practice location

172 4TH St SE
Huron, SD 57350-2510

Mailing address

172 4TH St SE
Huron, SD 57350-2510
Phone (605) 353-6200

Other identifiers 1

IdentifierTypeStateIssuer
6820900MedicaidSD

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000715 SD Practitioner - Physician Assistant 5698749752 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Jun 5, 2012 Accepting new patients
Avera Queen of Peace CurrentSince Jun 5, 2012 Accepting new patients
Horizon Health Care Inc CurrentSince Jun 25, 2018 Accepting new patients
Avera Queen of Peace Past Accepting new patients

Locations

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

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659353282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 4TH ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502510",
            "telephone_number": "605-353-6200",
            "fax_number": "605-353-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 4TH ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502510",
            "telephone_number": "605-353-6200",
            "fax_number": "605-353-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6820900",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.