Avera Mckennan
Avera Mckennan is a healthcare organization registered as Maternal & Fetal Medicine Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1205808748 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205808748 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1417 S. CLIFF AVE., STE. 100, Sioux Falls, SD, 57105 |
| Phone | 6053228937 |
| Fax | 6053228938 |
| Enumeration date | 2006-02-07 |
| 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 |
|---|---|---|---|---|
| 207VM0101X | Maternal & Fetal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0573360 | Medicaid | IA | — |
| 361ROPE | Other | MN | BCBS |
| 361R1WA | Other | MN | BLUE PLUS |
| 4994376 | Other | SD | BCBS |
| 924114229808 | Other | SD | PRIMEWEST |
| 95736 | Other | SD | HEALTHPARTNERS |
| 10025040700 | Medicaid | NE | — |
| 370624200 | Other | SD | DEPT OF LABOR |
| 482413000 | Medicaid | MN | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1205808748 Taxonomy: 207VM0101X (Maternal & Fetal Medicine Physician) Address: 1417 S. CLIFF AVE., STE. 100, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619972783 | Christopher Hurley | Individual | Gastroenterology Physician | Sioux Falls, SD |
| 1952308397 | Courtney-Maree Heynen | Individual | Advanced Practice Midwife | Sioux Falls, SD |
| 1740252410 | Teresa Vander Stouwe | Individual | Advanced Practice Midwife | Sioux Falls, SD |
| 1144292848 | Veronica Gaetze | Individual | Obstetrics Physician | Sioux Falls, SD |
| 1417929100 | Avera Mckennan | Organization | Advanced Practice Midwife | Sioux Falls, SD |
| 1841262607 | Lisa Van Gerpen | Individual | Advanced Practice Midwife | Sioux Falls, SD |
| 1003888694 | Amal Salama | Individual | Obstetrics & Gynecology Physician | Sioux Falls, SD |
| 1881666485 | Patricia Wirtz | Individual | Obstetrics & Gynecology Physician | Sioux Falls, SD |
Verify this record
Cross-check NPI 1205808748 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.