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

Jared Lee Mouw, PA-C

Individual provider Physician Assistant · NPI 1558047191

Jared Lee Mouw, PA-C is a Physician Assistant in Vermillion, South Dakota. Graduated from University of North Dakota School of Medicine in 2023, 3 years ago. Practices with City of Brookings, a 113-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and South Dakota.

Years since qualifying
3
Trained at
University of North Dakota School of Medicine
Licensed in
MN, SD
In the registry since
2023
Specialties on file
2
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

20 S Plum St
Vermillion, SD 57069-3346
Phone: (605) 677-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 916 4th Ave Sw, Pipestone, MN 56164-1890 — (507) 825-5811

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1505 (SD)
Physician Assistant Taxonomy 363A00000X · Licence 14544 (MN)

Record details

NPI number1558047191
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice City Of Brookings — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Vermillion