AVERA MCKENNAN
NPI 1164492906
Home Infusion in Sioux Falls, SD
NPI Status: Active since January 24, 2006
Contact Information
4101 W MEMORY CIR STE 110
SIOUX FALLS, SD
ZIP 57107
Phone: (605) 322-8322
Fax: (605) 322-8317
- Organization
- Home Infusion
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About AVERA MCKENNAN
This page provides the complete NPI Profile along with additional information for Avera Mckennan, a provider established in Sioux Falls, South Dakota operating as a Home Infusion. The healthcare provider is registered in the NPI registry with number 1164492906 assigned on January 2006. The practitioner's primary taxonomy code is 251F00000X with license number 1001663 (SD). The provider is registered as an organization and their NPI record was last updated February 2026. The provider's
- NPI
- 1164492906
- Provider Legal Name
- AVERA MCKENNAN
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4101 W MEMORY CIR STE 110 SIOUX FALLS, SD 57107
- Location Phone
- (605) 322-8322
- Location Fax
- (605) 322-8317
- Mailing Address
- 4101 W MEMORY CIR STE 110 SIOUX FALLS, SD 57107
- Mailing Phone
- (605) 322-8322
- Mailing Fax
- (605) 322-8317
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2006
- Last Update Date
- 02-16-2026
- Code Navigator
Avera Mckennan is a medicare supplier with PTAN 20667395 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Infusion Drugs or External Infusion Pumps and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Infusion
- Taxonomy Code
- 251F00000X
- Type
- Agencies
- License No.
- 1001663
- License State
- SD
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 100-1663 (SD) |
| 2 | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies | 100-1663 (SD) |
| 3 | 333600000X | Suppliers | Pharmacy | 1001663 (SD) |
| 4 | 3336H0001X | Suppliers | Pharmacy | 100-1663 (SD) |
| 5 | 3336S0011X | Suppliers | Pharmacy | 100-1663 (SD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- ConnectPlus $0 Gold - PPO
- ConnectPlus $0 Silver - PPO
- ConnectPlus $10,600 HSA Eligible HDHP - PPO
- ConnectPlus $1800 - PPO
- ConnectPlus $4500 - PPO
- ConnectPlus $6500 HSA Eligible HDHP - PPO
- ConnectPlus $7500 HSA Eligible HDHP - PPO
- ConnectPlus MyWeighForward $2000 - PPO
- ConnectPlus MyWeighForward $6000 - PPO
- ConnectPlus Standard $2000 - PPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
- NE WI Select $3,150 Plus Silver - PPO
- NE WI Select $3,800 HSA Silver - PPO
- NE WI Select $6,000 Standard Silver - PPO
- NE WI Select $6,800 Plus Bronze HSA - PPO
- NE WI Select $7,500 Standard Bronze HSA - PPO
- NE WI Select $8,400 HSA Bronze - PPO
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Share - PPO
- SummaCare Bronze 10600 with 3 Free PCP Visits - HMO
- SummaCare Bronze 10600 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Bronze 8000 - HMO
- SummaCare Bronze 8000 with Adult Vision Exam - HMO
- SummaCare Gold 1000 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Gold 2000 with 3 Free PCP Visits - HMO
- SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
- SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4304971 | MEDICAID (05) | IA | |
| 350516200 | MEDICAID (05) | MN | |
| 9166500 | MEDICAID (05) | SD | |
| 8504010 | MEDICAID (05) | SD |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20667395
- Accepts Medicare Assignment
- YES
- Specialities List
- Certified Other, Pharmacy.
- Competitive Bidding
- NO
Supplies List
- 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
Reviews for AVERA MCKENNAN
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164492906, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164492906, enumerated as an "organization" on January 24, 2006.
The provider is located at 4101 W MEMORY CIR STE 110 SIOUX FALLS, SD 57107 and the phone number is (605) 322-8322.
Home Infusion with taxonomy code 251F00000X.
The provider might be accepting Accepts: Avera Health Plans, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.
