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AVERA MCKENNAN HOSPITAL MEDICAL STAFF
NPI 1275984403
Nurse Practitioner - Family in Sioux Falls, SD

Active since June 29, 2016
1325 S CLIFF AVE, PLAZA 4, SIOUX FALLS, SD 57105(605) 322-6792 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avera Mckennan Hospital Medical Staff NPPES

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

AVERA MCKENNAN HOSPITAL MEDICAL STAFF (NPI 1275984403) is a healthcare organization registered as a family in Sioux Falls, South Dakota and active in the NPI registry since June 2016. The organization lists Justin Garry, Clinic Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1275984403
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAVERA MCKENNAN HOSPITAL MEDICAL STAFF
Location Address1325 S CLIFF AVE, PLAZA 4Sioux Falls, SD 57105-1007
Mailing Address1325 S Cliff Ave, Plaza 4Sioux Falls, SD 57105-1007
Phone(605) 322-6792
Organization SubpartNo
Authorized OfficialJustin GarryClinic Administrative Manager · (605) 322-6792
Enumeration DateJune 29, 2016
✔ NPI 1275984403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP001103
1325 S CLIFF AVE, Sioux Falls, SD 57105
Open in Google Maps ↗

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

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.

DR. CHETAN JIWAN WASEKAR M.D.
Hospitalist
1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7645
ERICA GEERDES PT, DPT
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5000
MR. BRANDON M HARRIS CNP
Orthopaedic Surgery (Orthopaedic Trauma)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
AUSTIN WADE FOX CRNA
Nurse Anesthetist, Certified Registered
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
DR. MEGAN E ALBERTSON M.D.
Radiology (Diagnostic Radiology)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-4878
CURTIS BLAKE REXROTH
Internal Medicine
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
AVERY K BALSTER
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
DR. TROY ADAM ROWEKAMP DO
Hospitalist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7645

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 Hospital Medical Staff's NPI number?

The NPI number for Avera Mckennan Hospital Medical Staff is 1275984403. It was assigned to this organization in the NPPES registry on June 29, 2016.

Where is Avera Mckennan Hospital Medical Staff located?

Avera Mckennan Hospital Medical Staff is located at 1325 S Cliff Ave Plaza 4, Sioux Falls, SD 57105. The listed phone number is (605) 322-6792.

What is Avera Mckennan Hospital Medical Staff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan Hospital Medical Staff was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.