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AVERA MEDICAL GROUP-INTERNAL MEDICINE-WOMEN'S
NPI 1104187343
Internal Medicine in Sioux Falls, SD

Active since June 05, 2012
116 W 69TH ST, SIOUX FALLS, SD 57108(605) 322-1530(605) 322-1531 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avera Medical Group-internal Medicine-women's NPPES

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

AVERA MEDICAL GROUP-INTERNAL MEDICINE-WOMEN'S (NPI 1104187343) is a healthcare organization registered as an internal medicine in Sioux Falls, South Dakota and active in the NPI registry since June 2012. The organization lists Julie Norton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104187343
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAVERA MCKENNAN
Location Address116 W 69TH STSioux Falls, SD 57108-6418
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900 · Fax (605) 322-4910
Phone(605) 322-1530
Fax(605) 322-1531
Organization SubpartNo
Authorized OfficialJulie NortonCfo · (605) 322-8000
Enumeration DateJune 5, 2012
Last NPPES UpdateMay 13, 2014
✔ NPI 1104187343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
116 W 69TH ST, Sioux Falls, SD 57108
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Other Names 1

Doing Business AsAvera Medical Group-internal Medicine-women's

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

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-internal Medicine-women's 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-Internal Medicine-Women's, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 755 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
Mary Dressing, LPC-MH, RD, LN
Mental Health Counselor
NPI 1194820449
116 W 69TH ST
Sioux Falls, SD 57108
(605) 322-1530
✔ PECOSSame address
Joshua Katz, CNP
Nurse Practitioner
NPI 1609535277
116 W 69TH ST
Sioux Falls, SD 57108
(605) 322-3455
✔ PECOS✔ Accepts MedicareSame address
Jeremy Beireis, M.D.
Family Practice
NPI 1386866325
6110 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 328-5800
✔ PECOS✔ Accepts Medicare0.1 mi
Sherri Bostwick, MD
Family Practice
NPI 1508169731
6110 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 328-5800
✔ PECOS✔ Accepts Medicare0.1 mi
Anna Bahnson, MD
Dermatology
NPI 1073177853
6701 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 322-6960
✔ PECOS✔ Accepts Medicare0.4 mi
Emily Gaster, M.D.
Dermatology
NPI 1669836276
6701 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 322-6960
✔ PECOS✔ Accepts Medicare0.4 mi
Lainee Goettsche, MD
Dermatology
NPI 1033647177
6701 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 322-6960
✔ PECOS✔ Accepts Medicare0.4 mi
Chandler Jansen, MD
Dermatology
NPI 1528687043
6701 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 322-6960
✔ PECOS✔ Accepts Medicare0.4 mi
Kyle Gilbert, FNP
Nurse Practitioner
NPI 1174314223
6709 S MINNESOTA AVE STE 102
Sioux Falls, SD 57108
(605) 322-7250
✔ PECOS✔ Accepts Medicare0.5 mi
Dayana Maita Coronel, MD
Infectious Disease
NPI 1447697693
6709 S MINNESOTA AVE STE 102
Sioux Falls, SD 57108
(605) 322-7250
✔ PECOS✔ Accepts Medicare0.5 mi
Susan Richards, CNP
Nurse Practitioner
NPI 1649866997
6709 S MINNESOTA AVE STE 102
Sioux Falls, SD 57108
(605) 322-7259
✔ PECOS✔ Accepts Medicare0.5 mi
Jose Suarez Isaacs, M.D.
Infectious Disease
NPI 1053793661
6709 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 322-7250
✔ PECOS✔ Accepts Medicare0.5 mi
Fares Masannat, MD
Infectious Disease
NPI 1144425323
6709 S MINNESOTA AVE SUITE 102
Sioux Falls, SD 57108
(605) 335-1952
✔ PECOS✔ Accepts Medicare0.5 mi
Dustin Boes, FNP-BC
Nurse Practitioner
NPI 1629853536
7000 S LYNCREST PL
Sioux Falls, SD 57108
(605) 271-5441
✔ PECOS✔ Accepts Medicare0.7 mi
Barry Martin, M.D.
Plastic and Reconstructive Surgery
NPI 1841258225
6215 S CLIFF AVE SUITE 110
Sioux Falls, SD 57108
(605) 322-4130
✔ PECOS✔ Accepts Medicare0.9 mi
Joseph Vogel, MD
Pediatric Medicine
NPI 1184690562
6215 S CLIFF AVE
Sioux Falls, SD 57108
(605) 322-3300
✔ PECOS0.9 mi
Emily Arnts, MD
Family Practice
NPI 1407434384
6215 S CLIFF AVE
Sioux Falls, SD 57108
(605) 322-3300
✔ PECOS✔ Accepts Medicare0.9 mi
Rochelle Boote, M.D.
Pediatric Medicine
NPI 1689936189
6215 S CLIFF AVE
Sioux Falls, SD 57108
(605) 322-1530
✔ PECOS0.9 mi
Janell Powell, MD
Internal Medicine
NPI 1750309357
6215 S CLIFF AVE
Sioux Falls, SD 57108
(605) 322-3300
✔ PECOS0.9 mi
Sidra Saleem, MD
Neurology
NPI 1831727924
6215 S CLIFF AVE
Sioux Falls, SD 57108
(305) 243-2742
✔ PECOS✔ Accepts Medicare0.9 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 1104187343. It was assigned to this organization in the NPPES registry on June 5, 2012. The provider is doing business as Avera Medical Group-Internal Medicine-Women's.

Where is Avera Mckennan located?

Avera Mckennan is located at 116 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 322-1530.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 2 practice at this address and 755 within 10 miles. 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 Mckennan was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.