AVERA MEDICAL GROUP KENNEBEC AREA
NPI 1356788491
Family Medicine in Kennebec, SD

Q: What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1356788491. It was assigned to this organization in the NPPES registry on May 30, 2013. The provider is doing business as Avera Medical Group Kennebec Area.

Q: What is Avera Mckennan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 30, 2013

120 SOUTH MAIN STREET, KENNEBEC, SD 57544(605) 869-2872(605) 869-2873 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Avera Medical Group Kennebec Area NPPES

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

AVERA MEDICAL GROUP KENNEBEC AREA (NPI 1356788491) is a healthcare organization registered as a family medicine in Kennebec, South Dakota and active in the NPI registry since May 2013. The organization lists Julie N. Norton, Sr. Vp Finance /cfo, as its authorized official.

NPPES Registry Identity

NPI1356788491

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameAVERA MCKENNAN

Location Address120 SOUTH MAIN STREETKennebec, SD 57544

Mailing Address120 South Main StreetKennebec, SD 57544 · (605) 869-2872 · Fax (605) 869-2873

Phone(605) 869-2872

Fax(605) 869-2873

Organization SubpartNo

Authorized OfficialJulie N. NortonSr. Vp Finance /cfo · (605) 322-6375

Enumeration DateMay 30, 2013

✔ NPI 1356788491 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.

120 SOUTH MAIN STREET, Kennebec, SD 57544

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Other Names 1

Doing Business AsAvera Medical Group Kennebec Area

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avera Medical Group Kennebec Area is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,275

Medicare enrollment records show 1,275 clinicians reassign Medicare billing to Avera Medical Group Kennebec Area, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner268

Certified Registered Nurse Anesthetist (CRNA)115

Internal Medicine108

Family Practice107

Pediatric Medicine74

Physical Therapist in Private Practice67

Emergency Medicine49

Obstetrics/Gynecology45

51 other specialties442

Nearest to this location (20)

See all 1,275

Kasey Hanson, CNP

Nurse Practitioner

NPI 1346246493

300 S BYRON BLVD
Chamberlain, SD 57325

(605) 337-3364

✔ PECOS✔ Accepts Medicare28 mi

Carmen Hendrix, NP-PMH

Nurse Practitioner

NPI 1104426337

300 S BYRON BLVD
Chamberlain, SD 57325

(605) 234-6551

✔ PECOS✔ Accepts Medicare28 mi

Chad Carda, MD

Family Practice

NPI 1013139823

300 S BYRON BLVD
Chamberlain, SD 57325

(605) 234-6551

✔ PECOS✔ Accepts Medicare28 mi

Garrett Houska, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1144587932

300 S BYRON BLVD
Chamberlain, SD 57325

(605) 680-4677

✔ Accepts Medicare28 mi

Teresa Marts, M.D.

Family Practice

NPI 1780764167

825 E 8TH ST
Winner, SD 57580

(605) 842-2626

✔ PECOS✔ Accepts Medicare37 mi

Bretta Olson, MD

Pediatric Medicine

NPI 1841457389

100 MAC LN
Pierre, SD 57501

(605) 224-5901

✔ PECOS39 mi

Nicole Poppinga, M.D.

Pediatric Medicine

NPI 1013118512

100 MAC LN
Pierre, SD 57501

(605) 945-5246

✔ PECOS39 mi

Daniel Rasmussen, DO

Physical Medicine and Rehabilitation

NPI 1023208907

100 MAC LN
Pierre, SD 57501

(605) 224-5901

✔ PECOS✔ Accepts Medicare39 mi

Jessica Rasmussen, M.D.

Obstetrics/Gynecology

NPI 1518118314

100 MAC LN AVERA MEDICAL ASSOCIATES CLINIC
Pierre, SD 57501

(605) 224-5901

✔ PECOS✔ Accepts Medicare39 mi

Kenneth Bartholomew, MD

General Practice

NPI 1639144363

100 MAC LANE AVERA MEDICAL GROUP PIERRE
Pierre, SD 57501

(605) 224-5901

✔ PECOS✔ Accepts Medicare39 mi

Eldon Becker, MD

General Surgery

NPI 1023083797

100 MAC LANE AVERA MEDICAL GROUP PIERRE
Pierre, SD 57501

(605) 945-5202

✔ PECOS✔ Accepts Medicare39 mi

Brent Lindbloom, DO

Obstetrics/Gynecology

NPI 1700851011

100 MAC LANE AVERA MEDICAL GROUP PIERRE
Pierre, SD 57501

(605) 945-5201

✔ PECOS39 mi

Gonzalo Sanchez, MD

Orthopedic Surgery

NPI 1841250727

100 MAC LANE AVERAL MEDICAL GROUP PIERRE
Pierre, SD 57501

(605) 224-7070

✔ PECOS✔ Accepts Medicare39 mi

Philip Meyer, DO

Internal Medicine

NPI 1972595981

1615 N HARRISON AVE STE 2
Pierre, SD 57501

(605) 945-1710

✔ PECOS40 mi

Philip Kilmer, M.D.

Emergency Medicine

NPI 1891748299

110 S LOGAN AVE
Gregory, SD 57533

(605) 835-9611

✔ PECOS✔ Accepts Medicare51 mi

Blair Sedlacek, CSW-PIP

Clinical Social Worker

NPI 1962651653

405 WHITTECAR AVE
Gregory, SD 57533

(605) 835-9611

✔ PECOS✔ Accepts Medicare52 mi

Rebecca Waring, MD

Internal Medicine

NPI 1568925691

300 W 5TH ST
Miller, SD 57362

(605) 853-0175

✔ PECOS✔ Accepts Medicare60 mi

Peter Paul Lim, M.D.

Infectious Disease

NPI 1356697916

1900 GRASSLAND DR
Mitchell, SD 57301

(605) 299-6051

✔ PECOS90 mi

Carol Nelson, MD

Neurology

NPI 1003823410

1415 N SANBORN BLVD
Mitchell, SD 57301

(605) 990-2178

✔ PECOS✔ Accepts Medicare92 mi

Carly Uecker, PT, DPT

Physical Therapist in Private Practice

NPI 1144847617

2100 N KIMBALL ST
Mitchell, SD 57301

(605) 996-7513

✔ Accepts Medicare93 mi

See all 1,275 clinicians

Source: 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 1356788491. It was assigned to this organization in the NPPES registry on May 30, 2013. The provider is doing business as Avera Medical Group Kennebec Area.

Where is Avera Mckennan located?

Avera Mckennan is located at 120 South Main Street, Kennebec, SD 57544. The listed phone number is (605) 869-2872.

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.

How many clinicians bill Medicare through Avera Mckennan?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,275 clinicians in 59 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 Nurse Practitioner (268), Certified Registered Nurse Anesthetist (CRNA) (115) and Internal Medicine (108). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.