AVERA MCKENNAN
NPI 1306939806
Family Medicine in Worthington, MN
About Avera Mckennan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MCKENNAN (NPI 1306939806), doing business as Avera Mckennan Dba Avera Worthington Specialty Clinics, is a healthcare organization registered as a family medicine in Worthington, Minnesota and active in the NPI registry since October 2006. The organization lists Julie N Norton, Cfo/svp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avera Mckennan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Avera Mckennan, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 75Source: 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 1306939806. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Avera Medical Group Worthington. The provider was formerly known as Avera Mckennan Dba Avera Worthington Specialty Clinics.
Where is Avera Mckennan located?
Avera Mckennan is located at 1216 Ryans Rd Suite 1, Worthington, MN 56187. The listed phone number is (507) 372-2921.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Avera Mckennan enrolled in Medicare?
Yes. Avera Mckennan is registered in the Medicare PECOS enrollment system.
When is Avera Mckennan's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Multi-Specialty - Physician) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Avera Mckennan?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 12 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 Diagnostic Radiology (16), Family Practice (14) and Nurse Practitioner (9). Of these, 15 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Avera Mckennan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Sanford Health Plan 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 May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Avera Mckennan · NPI 1306939806
Family Medicine organization in Worthington, Minnesota. Organization record, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1306939806 (Entity type: Organization)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Avera Medical Group Worthington (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Julie Norton, CFO/SVP
## Practice location
- **Address:** 1216 RYANS RD, SUITE 1, Worthington, MN 56187-1722
- **Phone:** (507) 372-2921 · **Fax:** (507) 372-5789
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, Minnesota, Multi-Specialty - Physician) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 75 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (16), Family Practice (14), Nurse Practitioner (9); 15 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1306939806/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2017
- **Other identifiers:** Medicaid 951015000 (MN); Medicare NSC 1202730005 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1306939806) · Data from the CMS NPPES public registry.