Individual provider · Type 1 NPI

Jared Lee Mouw, PA-C

Physician Assistant · Vermillion, SD

NPI number 1558047191 Active

Practice location

20 S Plum St
Vermillion, SD 57069-3346

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice locations

  • 916 4th Ave SW, Pipestone, MN 56164-1890 · (507) 825-5811

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1505 (SD)
Physician Assistant 363A00000X14544 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1558047191

Jared Lee Mouw, PA-C's National Provider Identifier is 1558047191, issued on Jun 27, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vermillion, SD. The record was last updated on Jan 22, 2026.