AVERA MEDICAL GROUP
NPI 1013350891
Emergency Medicine in Sioux Falls, SD
About Avera Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP (NPI 1013350891) is a healthcare organization registered as an emergency medicine in Sioux Falls, South Dakota and active in the NPI registry since April 2013. The organization holds 3 active CLIA laboratory certificates, 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
Group Practice 1
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 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,275Medicare enrollment records show 1,275 clinicians reassign Medicare billing to Avera Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 754 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 1,275Source: 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 3
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 Accreditation 43D1069059
Avera Medical Group Mcgreevy 69th & Western · Sioux Falls, SDCertificate of Waiver 43D0719165
Avera Medical Group Health Care Clinic · Sioux Falls, SDCertificate of Accreditation 43D0935209
Avera Medical Group Mcgreevy 69th And Cliff · 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 1013350891. It was assigned to this organization in the NPPES registry on April 11, 2013. The provider is doing business as Avera Medical Group.
Where is Avera Mckennan located?
Avera Mckennan is located at 4500 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 322-9777.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
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), 1,275 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 (268), Certified Registered Nurse Anesthetist (CRNA) (115) and Internal Medicine (108). Of these, 3 practice at this address and 754 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avera Mckennan hold CLIA laboratory certificates?
Yes. 3 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.
When was this NPI record last updated?
The NPPES record for Avera Mckennan was last updated on January 12, 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 · NPI 1013350891
Emergency Medicine organization in Sioux Falls, South Dakota. Organization record, active in the CMS NPPES registry since April 11, 2013.
## Identity
- **NPI:** 1013350891 (Entity type: Organization)
- **Enumerated:** April 11, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Legal business name:** Avera Mckennan
- **Organization subpart:** No
- **Authorized official:** David Flicek, CEO/PRESIDENT
## Practice location
- **Address:** 4500 W 69TH ST, Sioux Falls, SD 57108-8148
- **Phone:** (605) 322-9777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,275 clinicians in 59 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (268), Certified Registered Nurse Anesthetist (CRNA) (115), Internal Medicine (108); 3 practice at this address and 754 within 10 miles; [full list](https://npiprofile.com/npi/1013350891/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2023
- **CLIA laboratory certificates:** 3 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1013350891) · Data from the CMS NPPES public registry.