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AVERA MCKENNAN
NPI 1427090760
Clinic/Center in Gregory, SD

Active since June 12, 2006
110 S LOGAN AVE STE A, GREGORY, SD 57533(605) 835-9611(605) 835-8033 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Feb 10, 2023 (2 updates tracked since 2023).

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

NPI1427090760
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVERA MCKENNAN
Location Address110 S LOGAN AVE STE AGregory, SD 57533-1614
Mailing Address110 S Logan Ave Ste AGregory, SD 57533-1614 · (605) 835-9611 · Fax (605) 835-8033
Phone(605) 835-9611
Fax(605) 835-8033
Organization SubpartNo
Authorized OfficialDavid William FlicekPresident/ceo · (605) 322-7915
Enumeration DateJune 12, 2006
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1427090760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
110 S LOGAN AVE STE A, Gregory, SD 57533
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Other Names 1

Doing Business AsAvera Medical Group Gregory

Other Identifiers 2

Medicaid46011474312NE
Other0000028SD · Wellmark Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MEGAN BLANCHE KNOLL PA-C
Physician Assistant
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
MELISSA BARTLING M.D.
Family Medicine
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
RICHARD L KAFKA M.D.
Family Medicine
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
SUSAN M HOGUE C.N.P
Nurse Practitioner (Family)
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
LISA A EVEN M.D.
Family Medicine
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
MRS. MEGAN JO HEYDEN CNP
Nurse Practitioner (Family)
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
RACHELE J LYONS CNP
Nurse Practitioner (Family)
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611

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.

What insurance does Avera Mckennan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers 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 8 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.