Avera Mckennan
Avera Mckennan is a healthcare organization registered as Pediatrics Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1558337899 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558337899 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1417 S. CLIFF AVE., STE. 010, Sioux Falls, SD, 57105 |
| Phone | 6053223666 |
| Fax | 6053223665 |
| Enumeration date | 2006-02-27 |
| Last updated in NPPES | 2026-03-19 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000080878 | Other | MN | PRIMEWEST |
| 0248534 | Medicaid | IA | — |
| 65740 | Other | SD | HEALTHPARTNERS |
| 0006729 | Other | SD | BCBS |
| 3D887KU | Other | MN | BLUE PLUS |
| 200806800 | Medicaid | MN | — |
| 370624200 | Other | SD | DEPT OF LABOR |
| 3D887KU | Other | MN | BCBS |
| 250R5PE | Other | MN | BCBS WORTHINGTON |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1558337899 Taxonomy: 208000000X (Pediatrics Physician) Address: 1417 S. CLIFF AVE., STE. 010, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619972783 | Christopher Hurley | Individual | Gastroenterology Physician | Sioux Falls, SD |
| 1952308397 | Courtney-Maree Heynen | Individual | Advanced Practice Midwife | Sioux Falls, SD |
| 1740252410 | Teresa Vander Stouwe | Individual | Advanced Practice Midwife | Sioux Falls, SD |
| 1144292848 | Veronica Gaetze | Individual | Obstetrics Physician | Sioux Falls, SD |
| 1417929100 | Avera Mckennan | Organization | Advanced Practice Midwife | Sioux Falls, SD |
| 1841262607 | Lisa Van Gerpen | Individual | Advanced Practice Midwife | Sioux Falls, SD |
| 1003888694 | Amal Salama | Individual | Obstetrics & Gynecology Physician | Sioux Falls, SD |
| 1881666485 | Patricia Wirtz | Individual | Obstetrics & Gynecology Physician | Sioux Falls, SD |
Verify this record
Cross-check NPI 1558337899 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
How current is this record?
Where is Avera Mckennan located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-19.