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AVERA MEDICAL GROUP 69TH AND CLIFF
NPI 1144635863
Family Medicine in Sioux Falls, SD

Active since June 23, 2014CLIA 43D2348662 · Waiver
6215 SOUTH CLIFF AVENUE, SIOUX FALLS, SD 57108(605) 322-3300(605) 322-3301 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Avera Medical Group 69th And Cliff NPPES

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

AVERA MEDICAL GROUP 69TH AND CLIFF (NPI 1144635863) is a healthcare organization registered as a family medicine in Sioux Falls, South Dakota and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through August 9, 2028 and lists Julie Norton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1144635863
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVERA MCKENNAN
Location Address6215 SOUTH CLIFF AVENUESioux Falls, SD 57108-8589
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4901 · Fax (605) 322-4910
Phone(605) 322-3300
Fax(605) 322-3301
Organization SubpartNo
Authorized OfficialJulie NortonCfo · (605) 322-6375
Enumeration DateJune 23, 2014
✔ NPI 1144635863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6215 SOUTH CLIFF AVENUE, Sioux Falls, SD 57108
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Other Names 1

Doing Business AsAvera Medical Group 69th And Cliff

Other Identifiers 2

Medicare NSC1202730025SD
Other100716SD · Medicare Id

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2348662

Avera Medical Group - 69th & Cliff · Sioux Falls, SD
Active · expires Aug 9, 2028
CLIA Number43D2348662
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2026
Certificate Expiration DateAugust 9, 2028
Laboratory DirectorStacy Prisbe
Laboratory Phone(605) 322-3300
Laboratory LocationAvera Medical Group - 69th & Cliff6215 South Cliff Ave, Sioux Falls, SD 57108
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MARK SHASHIKANT M.D.
Surgery (Plastic and Reconstructive Surgery)
6215 SOUTH CLIFF AVENUE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4130
DR. ASHLEY J VANDYKE D.O.
Family Medicine
6215 SOUTH CLIFF AVENUE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-3300
RANDY OPPOLD P.A.
Physician Assistant
6215 SOUTH CLIFF AVENUE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4130
MARK D LIST M.D.
Family Medicine
6215 SOUTH CLIFF AVENUE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-3300

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 1144635863. It was assigned to this organization in the NPPES registry on June 23, 2014. The provider is doing business as Avera Medical Group 69th And Cliff.

Where is Avera Mckennan located?

Avera Mckennan is located at 6215 South Cliff Avenue, Sioux Falls, SD 57108. The listed phone number is (605) 322-3300.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Avera Mckennan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2348662) is associated with this NPI, valid through August 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 June 23, 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.