Avera Mckennan
Avera Mckennan is a healthcare organization registered as Nephrology Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1104892892 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104892892 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 810 E 23RD ST STE 403, Sioux Falls, SD, 57105 |
| Phone | 6053225800 |
| Fax | 6053225801 |
| Enumeration date | 2006-02-23 |
| Last updated in NPPES | 2026-03-12 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | Ceo/President |
| Phone | 6053227903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RN0300X | Nephrology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12903 | Medicaid | ND | — |
| 0550814 | Medicaid | IA | — |
| 370624200 | Other | SD | DEPT OF LABOR |
| 81741 | Other | SD | HEALTHPARTNERS |
| 0008493 | Other | SD | BCBS |
| 118T5NO | Other | MN | BCBS |
| 031013001 | Other | MN | PRIMEWEST |
| 118T5NO | Other | MN | BLUE PLUS |
| 210830500 | Medicaid | MN | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1104892892 Taxonomy: 207RN0300X (Nephrology Physician) Address: 810 E 23RD ST STE 403, Sioux Falls, SD, 57105
Verify this record
Cross-check NPI 1104892892 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 2026-07-11. Provider record last updated 2026-03-12.