Avera Mckennan
Avera Mckennan is a healthcare organization registered as Psychiatry Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1013980598 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013980598 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 4400 W 69TH ST STE 1500, Sioux Falls, SD, 57108 |
| Phone | 6053225700 |
| Fax | 6053225704 |
| Enumeration date | 2006-02-07 |
| Last updated in NPPES | 2026-03-12 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0561456 | Medicaid | IA | — |
| 50M77UN | Other | MN | BLUE PLUS/CC SYSTEMS |
| 81G87AV | Other | MN | BCBS MN |
| 22591 | Other | IA | BCBS IA |
| 86467 | Other | SD | HEALTHPARTNERS |
| 0040470 | Other | SD | BCBS |
| 040121002 | Other | MN | PRIMEWEST |
| 996458400 | Medicaid | MN | — |
| 81G97AV | Other | MN | BLUE PLUS/CCS |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1013980598 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 4400 W 69TH ST STE 1500, Sioux Falls, SD, 57108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861512766 | David Schlagel | Individual | Psychiatry Physician | Sioux Falls, SD |
| 1073840260 | Brenda Nour | Individual | Clinical Psychologist | Sioux Falls, SD |
| 1982136461 | Jennifer Oligmueller | Individual | Psychiatry Physician | Sioux Falls, SD |
| 1821524836 | Trisha Gaudig | Individual | Clinical Psychologist | Sioux Falls, SD |
| 1023547486 | Hannah Devries | Individual | Addiction Psychiatry Physician | Sioux Falls, SD |
| 1063372654 | Justin Vonk | Individual | Psychiatric/Mental Health Nurse Practitioner | Sioux Falls, SD |
Verify this record
Cross-check NPI 1013980598 against the authoritative CMS record: view Avera Mckennan on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-03-12.