NPIMap

Individual provider Active NPI

Gwen Lynn Smith, PA-C

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1770813651
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0727 Issued in SD
Practice address
911 E 20TH St
Ste 700
Sioux Falls, SD 57105-1049
Phone
(605) 334-0393
Fax
(605) 334-6028
NPI assigned
Dec 28, 2009
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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 0727 SD Primary

Addresses

Primary practice location

911 E 20TH St
Ste 700
Sioux Falls, SD 57105-1049

Mailing address

911 E 20TH St
Ste 700
Sioux Falls, SD 57105-1049
Phone (605) 334-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100224000133 SD Practitioner - Physician Assistant 0446394852 Reassigns benefits to 2 organizations
I20240905003281 MN Practitioner - Physician Assistant 0446394852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2114

1001 E 21St St
Suite 401
Sioux Falls, SD 57105-1017
Phone (605) 322-8920

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0727SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Apr 28, 2025 Accepting new patients
Avera McKennan CurrentSince Apr 28, 2025 Accepting new patients
Pipestone County Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Pipestone County Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920

911 E 20th St
Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7300

Interoperability endpoints

  • Direct secure messaging: gwen.smith@avera.sdhealthlink.net

Organizations & group practices 8

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1770813651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST",
            "address_2": "STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051049",
            "telephone_number": "605-334-0393",
            "fax_number": "605-334-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST",
            "address_2": "STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051049",
            "telephone_number": "605-334-0393",
            "fax_number": "605-334-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GWEN",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.