Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avera Queen of Peace

Organization Physician Assistant · NPI 1629361720

Avera Queen of Peace is a Physician Assistant in Mitchell, South Dakota. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

1900 Grassland Dr
Mitchell, SD 57301-6205
Phone: (605) 995-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1629361720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Ekeren — President/Ceo · (605) 668-8322
Other names Averanow; Averanow
NPI enumeratedMay 23, 2011
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing addressPo Box 432, Mitchell, SD 57301-0432

Other providers in Mitchell