AVERA PRINCE OF PEACE OUTPATIENT THERAPY
NPI 1467786640
Clinic/Center - Multi-Specialty in Sioux Falls, SD
About Avera Prince Of Peace Outpatient Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA PRINCE OF PEACE OUTPATIENT THERAPY (NPI 1467786640) is a healthcare organization registered as a multi-specialty in Sioux Falls, South Dakota and active in the NPI registry since September 2009. The organization lists David Flicek, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
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 Prince Of Peace Outpatient Therapy 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 Prince Of Peace Outpatient Therapy, which bills Medicare for the services they deliver. Of these, 762 practice 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 1467786640. It was assigned to this organization in the NPPES registry on September 22, 2009. The provider is doing business as Avera Prince Of Peace Outpatient Therapy.
Where is Avera Mckennan located?
Avera Mckennan is located at 4513 S Prince Of Peace Pl Ste 1, Sioux Falls, SD 57103. The listed phone number is (605) 322-5618.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
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, 762 practice 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 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 July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Prince Of Peace Outpatient Therapy · NPI 1467786640
Multi-Specialty organization in Sioux Falls, South Dakota. Organization record, active in the CMS NPPES registry since September 22, 2009.
## Identity
- **NPI:** 1467786640 (Entity type: Organization)
- **Enumerated:** September 22, 2009
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Avera Mckennan
- **Organization subpart:** No
- **Authorized official:** David Flicek, PRESIDENT
## Practice location
- **Address:** 4513 S PRINCE OF PEACE PL STE 1, Sioux Falls, SD 57103-5830
- **Phone:** (605) 322-5618
## 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); 762 practice within 10 miles; [full list](https://npiprofile.com/npi/1467786640/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2021
- **Other identifiers:** Medicaid 10025846600 (PT ) (NE); Other 9290262 (SD); Medicaid 1467786640 (MN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1467786640) · Data from the CMS NPPES public registry.