Organization Active NPI

Avera Queen of Peace

Doing business as Avera Medical Group Orthopedics & Sports Medicine

  • Specialist
  • Mitchell, SD
National Provider Identifier
1699972422
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AVERA QUEEN OF PEACE
Doing business as
Avera Medical Group Orthopedics & Sports Medicine
Avera Orthopedics and Sports Medicine Mitchell
Practice address
625 N Foster St Ste 200
Mitchell, SD 57301-2968
Phone
(605) 995-3463
Fax
(605) 996-0718
NPI assigned
Jun 27, 2007
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AVERA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Hilary R. Rockwell
Title
Regional President / Ceo
Phone
(605) 995-2200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU

Addresses

Primary practice location

625 N Foster St Ste 200
Mitchell, SD 57301-2968

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-4933

Other names 2

  • Avera Medical Group Orthopedics & Sports Medicine Doing business as
  • Avera Orthopedics and Sports Medicine Mitchell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000301 SD Part B Supplier - Clinic/Group Practice 9335050806 Receives reassigned benefits from 252 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mitchell, SD; Parkston, SD; Pierre, SD; Platte, SD; Sioux Falls, SD; Wagner, SD; Wessington Springs, SD; Yankton, SD…

Other NPIs on the same Medicare enrollment 31

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 31

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1699972422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-4933",
            "fax_number": "605-504-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST STE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012968",
            "telephone_number": "605-995-3463",
            "fax_number": "605-996-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA QUEEN OF PEACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVERA HEALTH",
        "enumeration_date": "2007-06-27",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "REGIONAL PRESIDENT / CEO",
        "authorized_official_telephone_number": "605-995-2200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Orthopedics and Sports Medicine Mitchell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.