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AVERA MEDICAL GROUP MILLER
NPI 1083679625
Clinic/Center in Miller, SD

Active since April 18, 2006
300 W 5TH ST, MILLER, SD 57362(605) 853-0158(605) 853-3885 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avera Medical Group Miller NPPES

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

AVERA MEDICAL GROUP MILLER (NPI 1083679625) is a healthcare organization registered as a clinic/center in Miller, South Dakota and active in the NPI registry since April 2006. The organization lists Ronald J. Place, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1083679625
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVERA MCKENNAN
Location Address300 W 5TH STMiller, SD 57362-1238
Mailing Address300 W 5th St, Po Box 287Miller, SD 57362-1238 · (605) 853-0158 · Fax (605) 853-3885
Phone(605) 853-0158
Fax(605) 853-3885
Organization SubpartNo
Authorized OfficialRonald J. PlacePresident/ceo · (605) 322-7903
Enumeration DateApril 18, 2006
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1083679625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
300 W 5TH ST, Miller, SD 57362
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Other Names 1

Doing Business AsAvera Medical Group Miller

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.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 Miller 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 Medical Group Miller, which bills Medicare for the services they deliver. Of these, 7 practice at this address. 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
Haley Fulton, FNP
Nurse Practitioner
NPI 1386426849
300 W 5TH ST
Miller, SD 57362
(605) 853-2421
✔ PECOS✔ Accepts MedicareSame address
Aaron Nott, DO
Family Practice
NPI 1255907754
300 W 5TH ST
Miller, SD 57362
(605) 853-0175
✔ PECOS✔ Accepts MedicareSame address
Michelle Turner, M.D.
Family Practice
NPI 1316902257
300 W 5TH ST
Miller, SD 57362
(605) 853-0158
✔ PECOS✔ Accepts MedicareSame address
Justin Ward
Nurse Practitioner
NPI 1205294469
300 W 5TH ST
Miller, SD 57362
(605) 853-0175
✔ PECOS✔ Accepts MedicareSame address
Rebecca Waring, MD
Internal Medicine
NPI 1568925691
300 W 5TH ST
Miller, SD 57362
(605) 853-0175
✔ PECOS✔ Accepts MedicareSame address
Karen Runge, CNP
Nurse Practitioner
NPI 1821372764
300 W 5TH ST
Miller, SD 57362
(605) 853-0158
✔ PECOS✔ Accepts MedicareSame address
Michele Wieseler, NP-C
Nurse Practitioner
NPI 1619124195
300 W 5TH ST
Miller, SD 57362
(605) 853-0158
✔ PECOS✔ Accepts MedicareSame address
Lucinda Doyle, NP
Nurse Practitioner
NPI 1558593954
172 4TH ST SE
Huron, SD 57350
(605) 353-6200
✔ PECOS✔ Accepts Medicare40 mi
Chad Carda, MD
Family Practice
NPI 1013139823
300 S BYRON BLVD
Chamberlain, SD 57325
(605) 234-6551
✔ PECOS✔ Accepts Medicare53 mi
Garrett Houska, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144587932
300 S BYRON BLVD
Chamberlain, SD 57325
(605) 680-4677
✔ Accepts Medicare53 mi
Philip Meyer, DO
Internal Medicine
NPI 1972595981
1615 N HARRISON AVE STE 2
Pierre, SD 57501
(605) 945-1710
✔ PECOS66 mi
Nicole Poppinga, M.D.
Pediatric Medicine
NPI 1013118512
100 MAC LN
Pierre, SD 57501
(605) 945-5246
✔ PECOS68 mi
Daniel Rasmussen, DO
Physical Medicine and Rehabilitation
NPI 1023208907
100 MAC LN
Pierre, SD 57501
(605) 224-5901
✔ PECOS✔ Accepts Medicare68 mi
Jessica Rasmussen, M.D.
Obstetrics/Gynecology
NPI 1518118314
100 MAC LN AVERA MEDICAL ASSOCIATES CLINIC
Pierre, SD 57501
(605) 224-5901
✔ PECOS✔ Accepts Medicare68 mi
Kenneth Bartholomew, MD
General Practice
NPI 1639144363
100 MAC LANE AVERA MEDICAL GROUP PIERRE
Pierre, SD 57501
(605) 224-5901
✔ PECOS✔ Accepts Medicare68 mi
Eldon Becker, MD
General Surgery
NPI 1023083797
100 MAC LANE AVERA MEDICAL GROUP PIERRE
Pierre, SD 57501
(605) 945-5202
✔ PECOS✔ Accepts Medicare68 mi
Gonzalo Sanchez, MD
Orthopedic Surgery
NPI 1841250727
100 MAC LANE AVERAL MEDICAL GROUP PIERRE
Pierre, SD 57501
(605) 224-7070
✔ PECOS✔ Accepts Medicare68 mi
Richard Conklin, MD
Hematology/Oncology
NPI 1851394662
310 S PENN ST SUITE 105
Aberdeen, SD 57401
(605) 622-8700
✔ PECOS✔ Accepts Medicare70 mi
Bo Wang, MD, PHD
Dermatology
NPI 1053897892
105 S STATE ST STE 202
Aberdeen, SD 57401
(605) 622-8960
✔ PECOS✔ Accepts Medicare70 mi
Peter Paul Lim, M.D.
Infectious Disease
NPI 1356697916
1900 GRASSLAND DR
Mitchell, SD 57301
(605) 299-6051
✔ PECOS73 mi
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 1083679625. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as Avera Medical Group Miller.

Where is Avera Mckennan located?

Avera Mckennan is located at 300 W 5th St, Miller, SD 57362. The listed phone number is (605) 853-0158.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.