Avera Mckennan
Avera Mckennan is a healthcare organization registered as Internal Medicine Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1083894067 since 2007. The authorized official on file is David Flicek, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083894067 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 300 N DAKOTA AVE., STE. 117, Sioux Falls, SD, 57104 |
| Phone | 6053226800 |
| Fax | 6053226802 |
| Enumeration date | 2007-11-07 |
| Last updated in NPPES | 2018-10-24 |
Authorized official
| Name | David Flicek |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30B74GU | Other | SD | BLUE PLUS |
| 57105F001 | Other | SD | TRICARE |
| 12262 | Medicaid | ND | — |
| 0006020 | Other | SD | BLUE CROSS OF SOUTH DAKOT |
| 0532341 | Medicaid | IA | — |
| 30B74GU | Other | MN | BLUE CROSS |
| 59767 | Other | SD | HEALTHPARTNERS |
| 068417100 | Medicaid | MN | — |
| 9251873 | Other | SD | DAKOTACARE |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1083894067 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 300 N DAKOTA AVE., STE. 117, Sioux Falls, SD, 57104
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205820628 | James Barker | Individual | Internal Medicine Physician | Sioux Falls, SD |
| 1679661631 | Kevin Whittle | Individual | Internal Medicine Physician | Sioux Falls, SD |
| 1699616524 | Growth Care | Organization | In Home Supportive Care Agency | Sioux Falls, SD |
Verify this record
Cross-check NPI 1083894067 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 type of organization is Avera Mckennan?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-10-24.