Avera Mckennan
Avera Mckennan is a healthcare organization registered as Family Medicine Physician in Worthington, MN, holding Type 2 (organization) NPI 1306939806 since 2006. The authorized official on file is Julie Norton, Cfo/Svp.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1306939806 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1216 RYANS RD, SUITE 1, Worthington, MN, 56187 |
| Phone | 5073722921 |
| Fax | 5073725789 |
| Enumeration date | 2006-10-02 |
| Last updated in NPPES | 2017-05-31 |
Authorized official
| Name | Julie Norton |
|---|---|
| Title | Cfo/Svp |
| Phone | 6053227818 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103T00000X | Psychologist | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | Secondary | — | — |
| 208000000X | Pediatrics Physician | Secondary | — | — |
| 208600000X | Surgery Physician | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 951015000 | Medicaid | MN | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1306939806 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1216 RYANS RD, SUITE 1, Worthington, MN, 56187
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306839022 | Benjamin Gaines | Individual | Obstetrics & Gynecology Physician | Worthington, MN |
| 1699755462 | Ross Tucker | Individual | Internal Medicine Physician | Worthington, MN |
| 1912979345 | Randal Noyes | Individual | Family Medicine Physician | Worthington, MN |
| 1851363121 | Howard Leibowitz | Individual | Internal Medicine Physician | Worthington, MN |
| 1003877127 | Larry Foster | Individual | Family Medicine Physician | Worthington, MN |
| 1710944335 | Julie Linsenmeyer | Individual | Psychiatric/Mental Health Nurse Practitioner | Worthington, MN |
| 1376593251 | Juliet Lilgaroth | Individual | Family Medicine Physician | Worthington, MN |
| 1437184983 | Greta Martin | Individual | Nurse Practitioner | Worthington, MN |
Verify this record
Cross-check NPI 1306939806 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
Where is Avera Mckennan located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-05-31.