AVERA MEDICAL GROUP IVANHOE
NPI 1063949089
Clinic/Center - Rural Health in Ivanhoe, MN
About Avera Medical Group Ivanhoe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP IVANHOE (NPI 1063949089) is a healthcare organization registered as a rural health in Ivanhoe, Minnesota and active in the NPI registry since May 2017. The organization lists Debbie Streier, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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 Ivanhoe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to Avera Medical Group Ivanhoe, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 52Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tyler's NPI number?
The NPI number for Avera Tyler is 1063949089. It was assigned to this organization in the NPPES registry on May 22, 2017. The provider is doing business as Avera Medical Group Ivanhoe.
Where is Avera Tyler located?
Avera Tyler is located at 312 E George St, Ivanhoe, MN 56142. The listed phone number is (507) 694-1414.
What is Avera Tyler's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Avera Tyler enrolled in Medicare?
Yes. Avera Tyler is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avera Tyler?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 14 Medicare specialties reassign their Medicare billing to Avera Tyler. 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 (18), Certified Registered Nurse Anesthetist (CRNA) (7) and Diagnostic Radiology (7). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Avera Tyler was last updated on December 2, 2022. 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 Ivanhoe · NPI 1063949089
Rural Health organization in Ivanhoe, Minnesota. Organization record, active in the CMS NPPES registry since May 22, 2017.
## Identity
- **NPI:** 1063949089 (Entity type: Organization)
- **Enumerated:** May 22, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Avera Tyler
- **Organization subpart:** No
- **Authorized official:** Debbie Streier, CEO
## Practice location
- **Address:** 312 E GEORGE ST, Ivanhoe, MN 56142-9707
- **Phone:** (507) 694-1414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Certified Registered Nurse Anesthetist (CRNA) (7), Diagnostic Radiology (7); 1 practice at this address; [full list](https://npiprofile.com/npi/1063949089/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063949089) · Data from the CMS NPPES public registry.