AVERA MCKENNAN
NPI 1457096133
Family Medicine - Obesity Medicine in Sioux Falls, SD

Q: What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1457096133. It was assigned to this organization in the NPPES registry on April 28, 2022. The provider is doing business as Avera Medical Group Comprehensive Weight Management.

Q: What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Q: When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 28, 2022

911 E 20TH ST STE 200, SIOUX FALLS, SD 57105(605) 504-0400(605) 504-0401 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1457096133), doing business as Avera Medical Group Comprehensive Weight Management, is a healthcare organization registered as an obesity medicine in Sioux Falls, South Dakota and active in the NPI registry since April 2022. The organization lists David William Flicek, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1457096133

Entity TypeOrganization

Primary Taxonomy207QB0002X

Legal Business NameAVERA MCKENNAN

Location Address911 E 20TH ST STE 200Sioux Falls, SD 57105-1044

Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370

Phone(605) 504-0400

Fax(605) 504-0401

Organization SubpartNo

Authorized OfficialDavid William FlicekPresident/ceo · (605) 322-7915

Enumeration DateApril 28, 2022

NPPES CertifiedApril 28, 2022

✔ NPI 1457096133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

911 E 20TH ST STE 200, Sioux Falls, SD 57105

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Other Names 1

Doing Business AsAvera Medical Group Comprehensive Weight Management

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

Accepted Insurance

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

1,275

Medicare enrollment records show 1,275 clinicians reassign Medicare billing to Avera Mckennan, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 762 within 10 miles. 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

Michael Brozik, MD

General Surgery

NPI 1750680286

911 E 20TH ST STE 700
Sioux Falls, SD 57105

(605) 334-0393

✔ PECOS✔ Accepts MedicareSame address

Jessica Clark, CNP

Nurse Practitioner

NPI 1033981774

911 E 20TH ST STE 300
Sioux Falls, SD 57105

(605) 504-1100

✔ PECOS✔ Accepts MedicareSame address

John Faryna, MD

Orthopedic Surgery

NPI 1164734422

911 E 20TH ST STE 300
Sioux Falls, SD 57105

(605) 504-1100

✔ PECOS✔ Accepts MedicareSame address

Lie Dinah Sandy Ligasaputri, M.D.

Hospice/Palliative Care

NPI 1770966087

911 E 20TH ST STE 400
Sioux Falls, SD 57105

(605) 322-5780

✔ PECOS✔ Accepts MedicareSame address

Jonathan Buchanan, MD

Sports Medicine

NPI 1508185794

911 E 20TH ST STE 300
Sioux Falls, SD 57105

(605) 322-1300

✔ PECOS✔ Accepts MedicareSame address

Kathlyn Drexler, M.D.

Hand Surgery

NPI 1497048896

911 E 20TH ST STE 300
Sioux Falls, SD 57105

(605) 322-1300

✔ PECOS✔ Accepts MedicareSame address

Timothy Metz, MD

Anesthesiology

NPI 1356410161

911 E 20TH ST STE 602
Sioux Falls, SD 57105

(605) 338-7098

✔ PECOS✔ Accepts MedicareSame address

Melissa Jensen, MD

Pediatric Medicine

NPI 1932365525

911 E 20TH ST STE 510
Sioux Falls, SD 57105

(605) 322-3666

✔ PECOSSame address

Troy Rowekamp, DO

Internal Medicine

NPI 1023335577

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-7645

✔ PECOS✔ Accepts MedicareSame address

Jeffery Steers, MD

Vascular Surgery

NPI 1043209760

1315 S. CLIFF AVE. STE. 1100
Sioux Falls, SD 57105

(605) 322-7350

✔ PECOS✔ Accepts MedicareSame address

Lu Huber, MD

Nephrology

NPI 1629278759

1315 S CLIFF AVE STE. 2000
Sioux Falls, SD 57105

(605) 322-5800

✔ PECOS✔ Accepts MedicareSame address

Luis Rojas-Espaillat, MD

Gynecological Oncology

NPI 1548396054

1000 E 21ST ST STE. 3000
Sioux Falls, SD 57105

(605) 322-7535

✔ PECOS✔ Accepts MedicareSame address

Ali Al Hajjaj, MD

General Practice

NPI 1174716294

1315 S. CLIFF AVE. STE. 1100
Sioux Falls, SD 57105

(605) 322-7350

✔ PECOSSame address

Racquel Anel-Tiangco, M.D.

Endocrinology

NPI 1740462803

1315 S. CLIFF AVE. STE. 3000
Sioux Falls, SD 57105

(605) 322-7600

✔ PECOS✔ Accepts MedicareSame address

Colleen Achong, MD

Hospitalist

NPI 1841866340

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-8000

✔ PECOS✔ Accepts MedicareSame address

Alissa Alberts, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1124252648

1325 S CLIFF AVE ANESTHESIA DEPT
Sioux Falls, SD 57105

(605) 322-2796

✔ Accepts MedicareSame address

Megan Albertson, M.D.

Diagnostic Radiology

NPI 1013334911

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-4878

✔ PECOS✔ Accepts MedicareSame address

Emily Dix, DPT

Physical Therapist in Private Practice

NPI 1548873615

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-8000

✔ Accepts MedicareSame address

Nathan Elg, DO

Emergency Medicine

NPI 1043747249

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-4767

✔ PECOSSame address

Taylar Hash, CNM

Certified Nurse Midwife (CNM)

NPI 1922890359

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-8920

✔ PECOS✔ Accepts MedicareSame address

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 1457096133. It was assigned to this organization in the NPPES registry on April 28, 2022. The provider is doing business as Avera Medical Group Comprehensive Weight Management.

Where is Avera Mckennan located?

Avera Mckennan is located at 911 E 20th St Ste 200, Sioux Falls, SD 57105. The listed phone number is (605) 504-0400.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

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, 21 practice at this address and 762 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 and Avera Health Plans 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 April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.