AVERA MCKENNAN
NPI 1427090760
Clinic/Center in Gregory, SD
About Avera Mckennan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MCKENNAN (NPI 1427090760), doing business as Avera Medical Group Gregory, is a healthcare organization registered as a clinic/center in Gregory, South Dakota and active in the NPI registry since June 2006. The organization lists David William Flicek, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
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 Mckennan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,275Medicare enrollment records show 1,275 clinicians reassign Medicare billing to Avera Mckennan, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 59
Nearest to this location (20)
See all 1,275Source: 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 1427090760. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Avera Medical Group Gregory.
Where is Avera Mckennan located?
Avera Mckennan is located at 110 S Logan Ave Ste A, Gregory, SD 57533. The listed phone number is (605) 835-9611.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
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). Of these, 5 practice at this address and 10 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 Blue Cross and Blue Shield of Nebraska 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 November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Avera Mckennan · NPI 1427090760
Clinic/Center organization in Gregory, South Dakota. Organization record, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1427090760 (Entity type: Organization)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Avera Medical Group Gregory (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Flicek, PRESIDENT/CEO
## Practice location
- **Address:** 110 S LOGAN AVE STE A, Gregory, SD 57533-1614
- **Phone:** (605) 835-9611 · **Fax:** (605) 835-8033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,275 clinicians in 59 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (268), Certified Registered Nurse Anesthetist (CRNA) (115), Internal Medicine (108); 5 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1427090760/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2025
- **Other identifiers:** Medicaid 46011474312 (NE); Other 0000028 (SD)
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Source: [NPI Profile](https://npiprofile.com/npi/1427090760) · Data from the CMS NPPES public registry.