NPIMap

Organization Active NPI

Avera Queen of Peace

Doing business as Avera De Smet Memorial Hospital

  • Critical Access Hospital
  • De Smet, SD
National Provider Identifier
1710155460
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
AVERA QUEEN OF PEACE
Doing business as
Avera De Smet Memorial Hospital
Practice address
306 Prairie Ave SW
De Smet, SD 57231-2285
Phone
(605) 854-3329
Fax
(605) 854-3161
NPI assigned
Feb 15, 2008
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Hilary Rockwell
Title
Regional President and Ceo
Phone
(605) 668-8321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X SD Primary

Addresses

Primary practice location

306 Prairie Ave SW
De Smet, SD 57231-2285

Mailing address

525 N Foster St
Mitchell, SD 57301-2926
Phone (605) 995-2000

Other practice location 1

801 3rd St SW
DE Smet, SD 57231-2224
Phone (605) 854-3834

Other identifiers 2

IdentifierTypeStateIssuer
0100860MedicaidSD
5500860MedicaidSD

Other names 1

  • Avera De Smet Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

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…
O20080714000163 SD Part A Provider - Critical Access Hospital 9335050806 Receives reassigned benefits from 16 practitioners
Practice locations: De Smet, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710155460. Details of each certification follow.

Hospital certification: CCN 431332

Legal name
AVERA QUEEN OF PEACE
Doing business as
AVERA DE SMET MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2003
Last certification
Apr 30, 2025
Beds
6
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2008 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1908 in SD
Enrollment address
306 Prairie Ave SW
De Smet, SD 57231-2285
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 31

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

View all 31

Care Compare: Hospital

Medicare Care Compare
Listed as
Avera de Smet Memorial Hospital - CahCCN 431332 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Avera Queen of Peace Ho29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Francis Dover Individual Corporate OfficerFache, President/Ceo Avera Health Oct 23, 2023
Trevor Dierks Individual Corporate DirectorBoard Member Jul 1, 2023
Julie Brookbank Individual Corporate DirectorBoard Member Jul 1, 2018
Tracey Larson Individual Corporate DirectorBoard Member Jul 1, 2019
Brad Zomer Individual Corporate DirectorBoard Member Jul 1, 2018
Jay Tolsma Individual Corporate DirectorBoard Member Jul 1, 2018
Diane Sandhoff Individual Corporate DirectorBoard Member Jul 1, 2023
Ryan Thompson Individual Corporate DirectorBoard Member Jul 1, 2018
Amanda Marie Schutz Individual Corporate OfficerOfficer Billing Services Jun 18, 2018
Jennifer L Tegethoff Individual Corporate DirectorBoard Member Jul 1, 2021
Julie Lautt Individual Corporate OfficerCfo Mar 1, 2020
Hilary Rae Rockwell Individual Corporate OfficerPresident/Ceo Jul 1, 2023
Operational/Managerial Control Jul 1, 2023
Mark Puetz Individual Corporate DirectorBoard Member Jul 1, 2023
Avera Health Organization, Sioux Falls, SD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2000 100%
Operational/Managerial Control Jun 1, 2000
Darlene Bergeleen Individual Corporate DirectorBoard Member Jul 1, 2023
Jessica a Claussen Individual Corporate DirectorBoard Member Jul 1, 2021
Jean Koehler Individual Corporate DirectorBoard Member Jul 1, 2018
Mark Hunhoff Individual Corporate DirectorBoard Member Jul 1, 2019
Nicole Stahle Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Weskota Memorial Medical CenterWessington Springs, SD, CCN 43Z324 Hospital Operational/Managerial Control Jun 1, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Avera Queen of Peace

    dba Avera Weskota Memorial Medical Center Swing Bed Program

    • Medicare Defined Swing Bed Hospital Unit
    • Wessington Springs, SD
    • NPI 1942205646

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 90

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 90

Practitioners & affiliated clinicians

Practitioners 23

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 23

Affiliated clinicians 30

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1710155460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N FOSTER ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012926",
            "telephone_number": "605-995-2000",
            "fax_number": "605-995-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 PRAIRIE AVE SW",
            "city": "DE SMET",
            "state": "SD",
            "postal_code": "572312285",
            "telephone_number": "605-854-3329",
            "fax_number": "605-854-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "DE Smet",
            "state": "SD",
            "postal_code": "572312224",
            "country_code": "US",
            "telephone_number": "605-854-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVERA QUEEN OF PEACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "REGIONAL PRESIDENT AND CEO",
        "authorized_official_telephone_number": "605-668-8321"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100860",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500860",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera De Smet Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera De Smet Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Smet, SD

Sources for this page

Verify at the official NPI Registry.