AVERA MCKENNAN
NPI 1073585949
Pediatrics - Neonatal-Perinatal Medicine in Sioux Falls, SD

Active since February 06, 2006
1325 S. CLIFF AVE., SIOUX FALLS, SD 57105(605) 322-4425(605) 322-4499 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2026, Oct 24, 2018 (2 updates tracked since 2018).

About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1073585949), doing business as Avera Neonatology Sioux Falls, is a healthcare organization registered as a neonatal-perinatal medicine in Sioux Falls, South Dakota and active in the NPI registry since February 2006. The organization lists Ronald J Place, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1073585949
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameAVERA MCKENNAN
Location Address1325 S. CLIFF AVE.Sioux Falls, SD 57105-1007
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Fax(605) 322-4499
Organization SubpartNo
Authorized OfficialRonald J PlaceCeo/president · (605) 322-8000
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1073585949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1325 S. CLIFF AVE., Sioux Falls, SD 57105

Other Names 2

Doing Business AsAvera Neonatology Sioux Falls
Other NameAvera Medical Group Neonatology Sioux Falls

Other Identifiers 10

Medicaid065778600MN
Other61598SD · Healthpartners
Other370624200SD · Dept Of Labor
Medicaid6701090SD
Other7F824MAMN · Blue Plus
Other4999723SD · Bcbs
Medicaid6701340SD
Medicaid6701500SD
Medicaid6701790SD
Medicaid0555367IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mckennan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,275

Medicare enrollment records show 1,275 clinicians reassign Medicare billing to Avera Mckennan, which bills Medicare for the services they deliver. Of these, 194 practice at this address and 762 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner268
Certified Registered Nurse Anesthetist (CRNA)115
Internal Medicine108
Family Practice107
Pediatric Medicine74
Physical Therapist in Private Practice67
Emergency Medicine49
Obstetrics/Gynecology45
51 other specialties442

Nearest to this location (20)

See all 1,275
Hospitalist
NPI 1841866340
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-8000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891221123
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-6408
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124252648
1325 S CLIFF AVE ANESTHESIA DEPT
Sioux Falls, SD 57105
(605) 322-2796
✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1013334911
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-4878
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265307151
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-1600
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1548873615
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-8000
✔ Accepts MedicareSame address
Emergency Medicine
NPI 1043747249
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-4767
✔ PECOSSame address
Pediatric Medicine
NPI 1447690631
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-8000
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1922890359
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-8920
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1225268436
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-7905
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1609093467
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-5028
✔ Accepts MedicareSame address
Otolaryngology
NPI 1841640778
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 504-3000
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1669967147
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-7663
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1396995338
1325 S CLIFF AVE
Sioux Falls, SD 57105
(206) 386-2121
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1043796485
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-3035
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1093463655
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-5150
Same address
Occupational Therapist in Private Practice
NPI 1124279195
800 E 21ST ST
Sioux Falls, SD 57105
(605) 322-5000
✔ Accepts MedicareSame address
Sports Medicine
NPI 1508185794
911 E 20TH ST STE 300
Sioux Falls, SD 57105
(605) 322-1300
✔ PECOS✔ Accepts MedicareSame address
Hand Surgery
NPI 1497048896
911 E 20TH ST STE 300
Sioux Falls, SD 57105
(605) 322-1300
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1750680286
911 E 20TH ST STE 700
Sioux Falls, SD 57105
(605) 334-0393
✔ PECOS✔ Accepts MedicareSame address
See all 1,275 clinicians

Source: 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 Mckennan's NPI number?

The NPI number for Avera Mckennan is 1073585949. It was assigned to this organization in the NPPES registry on February 6, 2006. The provider is doing business as Avera Neonatology Sioux Falls. The provider is also known as Avera Medical Group Neonatology Sioux Falls.

Where is Avera Mckennan located?

Avera Mckennan is located at 1325 S. Cliff Ave., Sioux Falls, SD 57105. The listed phone number is (605) 322-4425.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

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, 194 practice at this address and 762 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.