Avera Mckennan
Avera Mckennan is a healthcare organization registered as Internal Medicine Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1770558405 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770558405 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 6100 S LOUISE AVE STE 1120, Sioux Falls, SD, 57108 |
| Phone | 6055041700 |
| Enumeration date | 2006-02-17 |
| Last updated in NPPES | 2026-03-12 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30B74GU | Other | MN | BLUE PLUS |
| 370624200 | Other | SD | DEPT OF LABOR |
| 0006020 | Other | SD | BCBS |
| 30B74GU | Other | MN | BLUE CROSS |
| 59767 | Other | SD | HEALTHPARTNERS |
| 068417100 | Medicaid | MN | — |
| 92411422901 | Other | MN | PRIMEWEST |
| 0532341 | Medicaid | IA | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1770558405 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 6100 S LOUISE AVE STE 1120, Sioux Falls, SD, 57108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841265543 | Leonard Gutnik | Individual | Internal Medicine Physician | Sioux Falls, SD |
| 1932173622 | Scott Beckstrand | Individual | Internal Medicine Physician | Sioux Falls, SD |
| 1033183736 | Eric Noyes | Individual | Nurse Practitioner | Sioux Falls, SD |
| 1134172463 | Jean Lageson | Individual | Internal Medicine Physician | Sioux Falls, SD |
| 1306862917 | Sophie Two Hawk | Individual | Internal Medicine Physician | Sioux Falls, SD |
| 1053419903 | Paul Kaffar | Individual | Family Nurse Practitioner | Sioux Falls, SD |
| 1417186768 | Carrie Rise | Individual | Family Nurse Practitioner | Sioux Falls, SD |
| 1295020618 | Neil Brummond | Individual | Internal Medicine Physician | Sioux Falls, SD |
Verify this record
Cross-check NPI 1770558405 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
Who is the authorized official for Avera Mckennan?
What is the NPI number for Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-12.