AVERA MCKENNAN
NPI 1164492906
Home Infusion in Sioux Falls, SD

Active since January 24, 2006
4101 W MEMORY CIR STE 110, SIOUX FALLS, SD 57107(605) 322-8322(605) 322-8317 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Jan 8, 2021, Dec 7, 2018 (3 updates tracked since 2018).

About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1164492906), doing business as Avera Mckennan Home Infusion, is a healthcare organization registered as a home infusion in Sioux Falls, South Dakota and active in the NPI registry since January 2006. The organization lists Ronald Joseph Place, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1164492906
Entity TypeOrganization
Primary Taxonomy251F00000X
Legal Business NameAVERA MCKENNAN
Location Address4101 W MEMORY CIR STE 110Sioux Falls, SD 57107-6504
Mailing Address4101 W Memory Cir Ste 110Sioux Falls, SD 57107-6504 · (605) 322-8322 · Fax (605) 322-8317
Fax(605) 322-8317
Organization SubpartNo
Authorized OfficialRonald Joseph PlacePresident/ceo · (605) 322-7903
Enumeration DateJanuary 24, 2006
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
NPI 1164492906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyHome InfusionAgencies
Taxonomy Code251F00000X
License Licensed in SD · 1001663
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 100-1663 (SD)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 100-1663 (SD)
Also ListedPharmacyTaxonomy 333600000X · License 1001663 (SD)
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License 100-1663 (SD)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 100-1663 (SD)
4101 W MEMORY CIR STE 110, Sioux Falls, SD 57107

Other Names 1

Doing Business AsAvera Mckennan Home Infusion

Other Identifiers 4

Medicaid4304971IA
Medicaid350516200MN
Medicaid9166500SD
Medicaid8504010SD

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Avera Mckennan Home Infusion carries, from the Medicare DMEPOS supplier directory.

Avera Mckennan Home Infusion

DMEPOS supplier · Sioux Falls, SDOperated by Avera Mckennan

Accepts Medicare assignment

Avera Mckennan Home Infusion agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20667395
Medicare Participant SinceAugust 1, 1996
Supplier Location1020 S Cliff AveSioux Falls, SD 57104
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Infusion Drugs
External Infusion Pumps and/or Supplies
An infusion pump is necessary to safely administer the drug
Parenteral Nutrients
Parenteral nutrient solutions
Parenteral Equipment and/or Supplies
Parenteral infusion pumps, parenteral nutrition supply kits
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1164492906. It was assigned to this organization in the NPPES registry on January 24, 2006. The provider is doing business as Avera McKennan Home Infusion.

Where is Avera Mckennan located?

Avera Mckennan is located at 4101 W Memory Cir Ste 110, Sioux Falls, SD 57107. The listed phone number is (605) 322-8322.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

Does Avera Mckennan accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Avera Mckennan Home Infusion accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Avera Mckennan accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, HealthPartners, Medica and SummaCare 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 February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.