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

Alyssa Jo Etzkorn, PA-C

Individual provider Physician Assistant · NPI 1235780883

Alyssa Jo Etzkorn, PA-C is a Physician Assistant in Pierre, South Dakota. Qualified in 2019, 7 years ago. Practices with Avera St Marys, a 95-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
7
Licensed in
SD
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Mac Ln
Pierre, SD 57501-3391
Phone: (605) 945-5277
Fax: (605) 945-5389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1218 (SD)

Record details

NPI number1235780883
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Avera St Marys — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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