AVERA MCKENNAN
NPI 1093812471
Clinic/Center in Worthington, MN

Active since September 20, 2006
1216 RYANS RD, SUITE 1, WORTHINGTON, MN 56187(507) 372-2921(507) 372-5789 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1093812471), doing business as Avera Mckennan Dba Avera Fulda Clinic, is a healthcare organization registered as a clinic/center in Worthington, Minnesota and active in the NPI registry since September 2006. The organization lists Julie Norton, Cfo/svp, as its authorized official.

NPPES Registry Identity

NPI1093812471
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVERA MCKENNAN
Location Address1216 RYANS RD, SUITE 1Worthington, MN 56187-1722
Mailing Address201 N St. Paul AveFulda, MN 56187-2343 · (507) 372-2921 · Fax (507) 372-5789
Fax(507) 372-5789
Organization SubpartNo
Authorized OfficialJulie NortonCfo/svp · (605) 322-7818
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 31, 2017
NPI 1093812471 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).

1216 RYANS RD, Worthington, MN 56187

Other Names 2

Former Legal Business NameAvera Mckennan Dba Avera Fulda Clinic
Doing Business AsAvera Medical Group Fulda

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1216 RYANS RD
WORTHINGTON, MN 56187
Internal Medicine
1216 RYANS RD
WORTHINGTON, MN 56187
Surgery
1216 RYANS RD, SUITE 1
WORTHINGTON, MN 56187
Nurse Practitioner (Family)
1216 RYANS RD
WORTHINGTON, MN 56187
Surgery
1216 RYANS RD
WORTHINGTON, MN 56187
Obstetrics & Gynecology
1216 RYANS RD
WORTHINGTON, MN 56187
Family Medicine
1216 RYANS RD, SUITE 1
WORTHINGTON, MN 56187
Pediatrics
1216 RYANS RD
WORTHINGTON, MN 56187

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 1093812471. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Avera Medical Group Fulda. The provider was formerly known as Avera Mckennan Dba Avera Fulda Clinic.

Where is Avera Mckennan located?

Avera Mckennan is located at 1216 Ryans Rd Suite 1, Worthington, MN 56187. The listed phone number is (507) 372-2921.

What is Avera Mckennan's specialty?

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

What insurance does Avera Mckennan accept?

Health plans from Avera Health Plans and Medica 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 May 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.