Avera Mckennan
Avera Mckennan is a healthcare organization registered as Women's Health Nurse Practitioner in Sioux Falls, SD, holding Type 2 (organization) NPI 1255307450 since 2006. The authorized official on file is David Flicek, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255307450 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 911 E 20TH ST, STE 200, Sioux Falls, SD, 57105 |
| Phone | 6053223455 |
| Fax | 6053223456 |
| Enumeration date | 2006-02-27 |
| Last updated in NPPES | 2021-02-16 |
Authorized official
| Name | David Flicek |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LW0102X | Women's Health Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370624200 | Other | SD | DEPT OF LABOR |
| 67B25MI | Other | MN | BLUE PLUS |
| 67B25MI | Other | MN | BCBS |
| 9177384 | Other | SD | DAKOTACARE |
| 0007280 | Other | SD | BCBS |
| 10025120100 | Medicaid | NE | — |
| 74474 | Other | SD | HEALTHPARTNERS |
| 0748939 | Medicaid | IA | — |
| 775790500 | Medicaid | MN | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1255307450 Taxonomy: 363LW0102X (Women's Health Nurse Practitioner) Address: 911 E 20TH ST, STE 200, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972506939 | Dakota Surgical Ltd | Organization | Medical Specialty Clinic/Center | Sioux Falls, SD |
| 1447222906 | Hari Kannan | Individual | Psychiatry Physician | Sioux Falls, SD |
| 1609848175 | Avera Mckennan | Organization | Psychiatry Physician | Sioux Falls, SD |
| 1972577252 | Donald Wingert | Individual | Surgery Physician | Sioux Falls, SD |
| 1083688279 | Bradley Thaemert | Individual | Surgery Physician | Sioux Falls, SD |
| 1649244625 | David Strand | Individual | Surgery Physician | Sioux Falls, SD |
| 1093781874 | Ebru Sulanc | Individual | Endocrinology, Diabetes & Metabolism Physician | Sioux Falls, SD |
| 1720054505 | Leslye Wipf | Individual | Registered Dietitian | Sioux Falls, SD |
Verify this record
Cross-check NPI 1255307450 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 2026-07-10. Provider record last updated 2021-02-16.