Avera Mckennan
Avera Mckennan is a healthcare organization registered as Neurological Surgery Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1093908501 since 2007. The authorized official on file is Julie Norton, Senior Vp of Finance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093908501 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1100 E 21ST ST, STE 220, Sioux Falls, SD, 57105 |
| Phone | 6053224825 |
| Fax | 6053224826 |
| Enumeration date | 2007-08-20 |
| Last updated in NPPES | 2012-03-12 |
Authorized official
| Name | Julie Norton |
|---|---|
| Title | Senior Vp of Finance |
| Phone | 6053226375 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery Physician | Primary | 4319 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025562500 | Medicaid | NE | — |
| 167004 | Other | SD | HEALTHPARTNERS |
| 46L93AV | Other | MN | BLUE PLUS |
| 9251034 | Other | SD | DAKOTACARE |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1093908501 Taxonomy: 207T00000X (Neurological Surgery Physician) Address: 1100 E 21ST ST, STE 220, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750355236 | Mark Fox | Individual | Neurological Surgery Physician | Sioux Falls, SD |
| 1073635462 | Amit Gupta | Individual | Pulmonary Disease Physician | Sioux Falls, SD |
| 1649461369 | Avera Mckennan | Organization | Neurological Surgery Physician | Sioux Falls, SD |
| 1366613473 | Mark W Fox MD PC | Organization | Neurological Surgery Physician | Sioux Falls, SD |
| 1083862486 | Michelle Schuman | Individual | Physical Therapist | Sioux Falls, SD |
| 1003064767 | Paula Jones | Individual | Physical Therapist | Sioux Falls, SD |
| 1841427770 | Avera Mckennan | Organization | Physical Medicine & Rehabilitation Physician | Sioux Falls, SD |
| 1073131405 | Nicole Westra | Individual | Family Nurse Practitioner | Sioux Falls, SD |
Verify this record
Cross-check NPI 1093908501 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
Who is the authorized official for Avera Mckennan?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-03-12.