Avera Mckennan
Avera Mckennan is a healthcare organization registered as Psychiatry Physician in Marshall, MN, holding Type 2 (organization) NPI 1154506384 since 2008. The authorized official on file is Julie Norton, Senior Vp of Finance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154506384 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1104 E COLLEGE DR, STE. B, Marshall, MN, 56258 |
| Phone | 5073372923 |
| Fax | 5073372926 |
| Enumeration date | 2008-01-07 |
| Last updated in NPPES | 2010-03-31 |
Authorized official
| Name | Julie Norton |
|---|---|
| Title | Senior Vp of Finance |
| Phone | 6053226375 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81G87AV | Other | MN | BLUE CROSS |
| 86467 | Other | SD | HEALTHPARTNERS |
| 81G87AV | Other | MN | CC SYSTEMS/ BLUE PLUS |
| CG9797 | Other | SD | RR MEDICARE |
| 996458400 | Medicaid | MN | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1154506384 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 1104 E COLLEGE DR, STE. B, Marshall, MN, 56258
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346297041 | Avera Marshall | Organization | Home Health Agency | Marshall, MN |
| 1053400465 | Deborah Hokanson | Individual | Registered Dietitian | Marshall, MN |
| 1497961049 | Anne Vorbach | Individual | Clinical Psychologist | Marshall, MN |
| 1528293172 | Avera Marshall | Organization | Psychiatry Physician | Marshall, MN |
| 1609555192 | Jason Polzin | Individual | Physical Therapist | Marshall, MN |
| 1710666060 | Conner Paxton | Individual | Physical Therapist | Marshall, MN |
| 1962217828 | Kendra Karl | Individual | Physical Therapist | Marshall, MN |
Verify this record
Cross-check NPI 1154506384 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 the NPI number for Avera Mckennan?
Who is the authorized official for Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-03-31.