Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Avera St. Luke'S

Q: What is the NPI number for Avera St. Luke'S?

The NPI for Avera St. Luke'S is 1619273927, a Type 2 (organization) record in the CMS NPPES registry.

Plastic and Reconstructive Surgery Physician in Fargo, ND · enumerated 2011 · authorized official Ron Jacobson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619273927

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Registry record

Entity type Organization (Type 2)

Legal business name Avera St. Luke'S

Other name <Unavail>

Practice address 4141 31st Ave S Ste 105, Fargo, ND, 58104

Phone (605) 725-5030

Fax (605) 725-5028

Enumeration date Feb 3, 2011

Last updated in NPPES Jun 30, 2011

Taxonomy & classification

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians · License 10525 (SD) Primary

Authorized official

Name Ron Jacobson

Title Ceo

Phone (605) 622-5125

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Avera St. Luke'S?

NPPES lists Ron Jacobson (Ceo) as the authorized official for this organization.

What is the NPI number for Avera St. Luke'S?

The NPI for Avera St. Luke'S is 1619273927, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-30.