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

Individual provider Physician Assistant · NPI 1669896676

Justine Peterson, PA-C is a Physician Assistant in Sioux Falls, South Dakota. Qualified in 2013, 13 years ago. Practices with Avera McKennan, a 962-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
13
Licensed in
SD
In the registry since
2014
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

1200 S 7th Ave
Sioux Falls, SD 57105-0900
Phone: (605) 336-2140
Fax: (605) 336-1986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2501 W 22nd St, Sioux Falls, SD 57117 — (605) 336-3230

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0914 (SD)

Record details

NPI number1669896676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 11, 2014
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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