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AVERA MCKENNAN
NPI 1013668698
Psychiatry & Neurology - Addiction Medicine in Sioux Falls, SD

Active since January 14, 2022
4400 W 69TH ST STE 3100, SIOUX FALLS, SD 57108(605) 504-3522(605) 322-4345 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avera Mckennan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MCKENNAN (NPI 1013668698), doing business as Avera Medical Group Addiction Medicine, is a healthcare organization registered as an addiction medicine in Sioux Falls, South Dakota and active in the NPI registry since January 2022. The organization lists David William Flicek, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1013668698
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameAVERA MCKENNAN
Location Address4400 W 69TH ST STE 3100Sioux Falls, SD 57108-8170
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-6408
Phone(605) 504-3522
Fax(605) 322-4345
Organization SubpartNo
Authorized OfficialDavid William FlicekPresident/ceo · (605) 322-7915
Enumeration DateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1013668698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedNurse PractitionerTaxonomy 363L00000X
4400 W 69TH ST STE 3100, Sioux Falls, SD 57108
Open in Google Maps ↗

Other Names 1

Doing Business AsAvera Medical Group Addiction Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Avera 69th Street Pharmacy carries, from the Medicare DMEPOS supplier directory.

Avera 69th Street Pharmacy

DMEPOS supplier · Sioux Falls, SDOperated by Avera Mckennan
✔

Accepts Medicare assignment

Avera 69th Street Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20667425
Medicare Participant SinceAugust 1, 1996
Supplier Location4400 W 69th St Ste 300Sioux Falls, SD 57108
Phone(605) 322-5948
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently 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 1013668698. It was assigned to this organization in the NPPES registry on January 14, 2022. The provider is doing business as Avera Medical Group Addiction Medicine.

Where is Avera Mckennan located?

Avera Mckennan is located at 4400 W 69th St Ste 3100, Sioux Falls, SD 57108. The listed phone number is (605) 504-3522.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Does Avera Mckennan accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Avera 69th Street Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Avera Mckennan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer 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 January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.