AVERA MEDICAL GROUP UROGYNECOLOGY SIOUX FALLS
NPI 1003188269
Obstetrics & Gynecology in Sioux Falls, SD
About Avera Medical Group Urogynecology Sioux Falls NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP UROGYNECOLOGY SIOUX FALLS (NPI 1003188269) is a healthcare organization registered as an obstetrics & gynecology in Sioux Falls, South Dakota and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through November 24, 2027, maintains a secondary practice location in Sioux Falls, and lists David Flicek, Ceo/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avera Medical Group Urogynecology Sioux Falls is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,318Medicare enrollment records show 1,318 clinicians reassign Medicare billing to Avera Medical Group Urogynecology Sioux Falls, which bills Medicare for the services they deliver. Of these, 47 practice at this address and 755 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 59
Nearest to this location (20)
See all 1,318Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 43D2175594
Avera Medical Group Urogynecology · Sioux Falls, SDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Avera Mckennan's NPI number?
The NPI number for Avera Mckennan is 1003188269. It was assigned to this organization in the NPPES registry on February 3, 2012. The provider is doing business as Avera Medical Group Urogynecology Sioux Falls.
Where is Avera Mckennan located?
Avera Mckennan is located at 6100 S Louise Ave Ste 1110, Sioux Falls, SD 57108. The listed phone number is (605) 504-1570.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Avera Mckennan enrolled in Medicare?
Yes. Avera Mckennan is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avera Mckennan?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,318 clinicians in 59 Medicare specialties reassign their Medicare billing to Avera Mckennan. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (276), Family Practice (121) and Certified Registered Nurse Anesthetist (CRNA) (115). Of these, 47 practice at this address and 755 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avera Mckennan hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D2175594) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Avera Mckennan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Avera Health Plans list Avera Mckennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Avera Mckennan was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Avera Medical Group Urogynecology Sioux Falls · NPI 1003188269
Obstetrics & Gynecology organization in Sioux Falls, South Dakota. Organization record, active in the CMS NPPES registry since February 3, 2012.
## Identity
- **NPI:** 1003188269 (Entity type: Organization)
- **Enumerated:** February 3, 2012
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Legal business name:** Avera Mckennan
- **Organization subpart:** No
- **Authorized official:** David Flicek, CEO/PRESIDENT
## Practice location
- **Address:** 6100 S LOUISE AVE STE 1110, Sioux Falls, SD 57108-6021
- **Phone:** (605) 504-1570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,318 clinicians in 59 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (276), Family Practice (121), Certified Registered Nurse Anesthetist (CRNA) (115); 47 practice at this address and 755 within 10 miles; [full list](https://npiprofile.com/npi/1003188269/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2019
- **Other identifiers:** Other CE0909 (SD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003188269) · Data from the CMS NPPES public registry.