AVERA MEDICAL GROUP ROCK RAPIDS
NPI 1003389206
Clinic/Center - Rural Health in Rock Rapids, IA
About Avera Medical Group Rock Rapids NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP ROCK RAPIDS (NPI 1003389206) is a healthcare organization registered as a rural health in Rock Rapids, Iowa and active in the NPI registry since January 2019. The organization holds 2 active CLIA laboratory certificates and lists Ronald J. Place, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 Rock Rapids is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,303Medicare enrollment records show 1,303 clinicians reassign Medicare billing to Avera Medical Group Rock Rapids, which bills Medicare for the services they deliver. Of these, 2 practice 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 1,303Source: 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 2
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 16D2161072
Avera Medical Group, Rock Rapids · Rock Rapids, IACertificate of Waiver 16D2161076
Avera Medical Group, George · George, IAFrequently 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 1003389206. It was assigned to this organization in the NPPES registry on January 10, 2019. The provider is doing business as Avera Medical Group Rock Rapids.
Where is Avera Mckennan located?
Avera Mckennan is located at 1100 S 10th Ave Ste 100, Rock Rapids, IA 51246. The listed phone number is (712) 472-5300.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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), 1,303 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 (284), Family Practice (116) and Certified Registered Nurse Anesthetist (CRNA) (115). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avera Mckennan hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Avera Mckennan accept?
Health plans from 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 September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Rock Rapids · NPI 1003389206
Rural Health organization in Rock Rapids, Iowa. Organization record, active in the CMS NPPES registry since January 10, 2019.
## Identity
- **NPI:** 1003389206 (Entity type: Organization)
- **Enumerated:** January 10, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Avera Mckennan
- **Organization subpart:** No
- **Authorized official:** Ronald Place, PRESIDENT/CEO
## Practice location
- **Address:** 1100 S 10TH AVE, STE 100, Rock Rapids, IA 51246-2020
- **Phone:** (712) 472-5300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,303 clinicians in 59 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (284), Family Practice (116), Certified Registered Nurse Anesthetist (CRNA) (115); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1003389206/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003389206) · Data from the CMS NPPES public registry.