Avera Mckennan
Avera Mckennan is a healthcare organization registered as Clinic/Center in Gregory, SD, holding Type 2 (organization) NPI 1427090760 since 2006. The authorized official on file is David Flicek, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1427090760 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 110 S LOGAN AVE STE A, Gregory, SD, 57533 |
| Phone | 6058359611 |
| Fax | 6058358033 |
| Enumeration date | 2006-06-12 |
| Last updated in NPPES | 2025-11-17 |
Authorized official
| Name | David Flicek |
|---|---|
| Title | President/Ceo |
| Phone | 6053227915 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 261Q00000X | Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46011474312 | Medicaid | NE | — |
| 0000028 | Other | SD | WELLMARK BC/BS |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1427090760 Taxonomy: 261Q00000X (Clinic/Center) Address: 110 S LOGAN AVE STE A, Gregory, SD, 57533
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427017607 | Melissa Bartling | Individual | Family Medicine Physician | Gregory, SD |
| 1912962788 | Lisa Even | Individual | Family Medicine Physician | Gregory, SD |
| 1588629760 | Richard Kafka | Individual | Family Medicine Physician | Gregory, SD |
| 1841256047 | Susan Hogue | Individual | Family Nurse Practitioner | Gregory, SD |
| 1982084521 | Rachele Lyons | Individual | Family Nurse Practitioner | Gregory, SD |
| 1740728591 | Brian Collins | Individual | Physician Assistant | Gregory, SD |
| 1952956328 | Megan Heyden | Individual | Family Nurse Practitioner | Gregory, SD |
| 1245846948 | Megan Knoll | Individual | Physician Assistant | Gregory, SD |
Verify this record
Cross-check NPI 1427090760 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 2026-07-10. Provider record last updated 2025-11-17.