Avera Mckennan
Avera Mckennan is a healthcare organization registered as Multi-Specialty Clinic/Center in Sioux Falls, SD, holding Type 2 (organization) NPI 1467786640 since 2009. The authorized official on file is David Flicek, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1467786640 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 4513 S PRINCE OF PEACE PL STE 1, Sioux Falls, SD, 57103 |
| Phone | 6053225618 |
| Enumeration date | 2009-09-22 |
| Last updated in NPPES | 2021-07-01 |
Authorized official
| Name | David Flicek |
|---|---|
| Title | President |
| Phone | 6053227915 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | 10563 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025846700 (OT GRP) | Medicaid | NE | — |
| 10025846600 (PT ) | Medicaid | NE | — |
| 1467786640 | Medicaid | IA | — |
| 1467786640 | Medicaid | MN | — |
| 9290262 | Other | SD | DAKOTACARE |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1467786640 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 4513 S PRINCE OF PEACE PL STE 1, Sioux Falls, SD, 57103
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639896988 | Molly Mechler | Individual | Geriatric Physical Therapist | Sioux Falls, SD |
| 1184301830 | Melissa Tweet | Individual | Occupational Therapist | Sioux Falls, SD |
Verify this record
Cross-check NPI 1467786640 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 2021-07-01.