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

Mallory Wipf, PA-C

Individual provider Physician Assistant · NPI 1417405416

Mallory Wipf, PA-C is a Physician Assistant in Rapid City, South Dakota. Qualified in 2016, 10 years ago. Practices with Black Hills Medical Group LLP, a 7-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
10
Licensed in
SD
In the registry since
2016
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

717 Saint Francis St
Rapid City, SD 57701-4677
Phone: (605) 342-2880
Fax: (833) 468-4799
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1057 (SD)

Record details

NPI number1417405416
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2016
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Black Hills Medical Group Llp — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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