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

Maggie Lynn Bistodeau, PA-C

Individual provider Physician Assistant · NPI 1407524622

Maggie Lynn Bistodeau, PA-C is a Physician Assistant in Tea, South Dakota. Qualified in 2021, 5 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
5
Licensed in
SD
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

725 E Figzel Ct Ste 100
Tea, SD 57064-2276
Phone: (605) 368-9899
Fax: (605) 368-5089
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1331 (SD)

Record details

NPI number1407524622
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 1, 2021
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tea