Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenna M Dormann, PA-C

Individual provider Medical Physician Assistant · NPI 1699838920

Jenna M Dormann, PA-C is a Physician Assistant in Rapid City, South Dakota. Qualified in 2004, 22 years ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
22
Licensed in
SD
In the registry since
2006
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

2822 Jackson Blvd Ste 101
Rapid City, SD 57702-3497
Phone: (605) 341-1208
Fax: (605) 341-3552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0614 (SD)

Record details

NPI number1699838920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESJanuary 14, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Black Hills Surgical Hospital Llc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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