Avera Mckennan
Avera Mckennan is a healthcare organization registered as Skilled Nursing Facility in Sioux Falls, SD, holding Type 2 (organization) NPI 1508854340 since 2005. The authorized official on file is Ronald Place, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508854340 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 4513 S PRINCE OF PEACE PL, Sioux Falls, SD, 57103 |
| Phone | 6053225600 |
| Enumeration date | 2005-10-06 |
| Last updated in NPPES | 2023-10-04 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | President/Ceo |
| Phone | 6053227903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Secondary | 10722 | SD |
| 314000000X | Skilled Nursing Facility | Primary | 10722 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0151172 | Medicaid | SD | — |
| 9572080 | Medicaid | SD | — |
| 85066 | Other | SD | BLUE CROSS OF SD |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1508854340 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 4513 S PRINCE OF PEACE PL, Sioux Falls, SD, 57103
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154673507 | Allison Boe | Individual | Physical Therapist | Sioux Falls, SD |
| 1699136184 | Lindsay Kapitan | Individual | Speech-Language Pathologist | Sioux Falls, SD |
| 1154836237 | Kassie Steffel | Individual | Speech-Language Pathologist | Sioux Falls, SD |
| 1164907275 | Tammy Ellwein | Individual | Physical Therapy Assistant | Sioux Falls, SD |
| 1720778467 | Rachel Flicek | Individual | Occupational Therapist | Sioux Falls, SD |
Verify this record
Cross-check NPI 1508854340 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 2023-10-04.