Avera Mckennan
Avera Mckennan is a healthcare organization registered as Gastroenterology Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1194799882 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194799882 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 6300 S LOUISE AVE STE 200, Sioux Falls, SD, 57108 |
| Phone | 6055041400 |
| Enumeration date | 2006-02-17 |
| Last updated in NPPES | 2026-03-12 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RG0100X | Gastroenterology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92411422906 | Other | SD | PRIMEWEST |
| 370624200 | Other | SD | DEPT OF LABOR |
| 817930100 | Medicaid | MN | — |
| 90876BA | Other | MN | BLUE PLUS |
| 0530592 | Medicaid | IA | — |
| 0006073 | Other | SD | BCBS |
| 65737 | Other | SD | HEALTHPARTNERS |
| 90876BA | Other | MN | BCBS |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1194799882 Taxonomy: 207RG0100X (Gastroenterology Physician) Address: 6300 S LOUISE AVE STE 200, Sioux Falls, SD, 57108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386561595 | Taylor Lepke | Individual | Student in an Organized Health Care Education/Training Program | Sioux Falls, SD |
Verify this record
Cross-check NPI 1194799882 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 2026-07-09. Provider record last updated 2026-03-12.