Avera Mckennan

Avera Mckennan is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Worthington, MN, holding Type 2 (organization) NPI 1922357839 since 2012. The authorized official on file is Kelli Vangrouw, Clinic Manager.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1922357839
Entity type	Organization (Type 2)
Legal business name	Avera Mckennan
Other name	<Unavail>
Parent organization	Avera Mckennan
Practice address	1216 RYANS RD, SUITE 2, Worthington, MN, 56187
Phone	5073722921
Fax	5073725789
Enumeration date	2012-09-06
Last updated in NPPES	2015-06-03

Authorized official

Name	Kelli Vangrouw
Title	Clinic Manager
Phone	5073722921

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QA1903X	Ambulatory Surgical Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Avera Mckennan
NPI: 1922357839
Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center)
Address: 1216 RYANS RD, SUITE 2, Worthington, MN, 56187

Providers at this address

NPI	Name	Type	Specialty	Location
1306839022	Benjamin Gaines	Individual	Obstetrics & Gynecology Physician	Worthington, MN
1699755462	Ross Tucker	Individual	Internal Medicine Physician	Worthington, MN
1912979345	Randal Noyes	Individual	Family Medicine Physician	Worthington, MN
1851363121	Howard Leibowitz	Individual	Internal Medicine Physician	Worthington, MN
1003877127	Larry Foster	Individual	Family Medicine Physician	Worthington, MN
1710944335	Julie Linsenmeyer	Individual	Psychiatric/Mental Health Nurse Practitioner	Worthington, MN
1376593251	Juliet Lilgaroth	Individual	Family Medicine Physician	Worthington, MN
1437184983	Greta Martin	Individual	Nurse Practitioner	Worthington, MN

Verify this record

Cross-check NPI 1922357839 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?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-06-03. Verify at npiregistry.cms.hhs.gov.

Where is Avera Mckennan located?

The practice location on file with NPPES is in Worthington, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-06-03.