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Avera Mckennan

Internal Medicine Physician in Sioux Falls, SD · enumerated 2007 · authorized official David Flicek, Ceo/President.

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

National Provider Identifier

1083894067

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Registry record

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
Fax (605) 322-6802
Enumeration date Nov 7, 2007
Last updated in NPPES Oct 24, 2018

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name David Flicek
Title Ceo/President

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

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.

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Frequently asked questions

What type of organization is Avera Mckennan?
Avera Mckennan is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-24.