AVERA MEDICAL GROUP BIG STONE CITY
NPI 1497847446
Physician Assistant in Big Stone City, SD

Active since September 28, 2006CLIA 43D1054703 · Waiver
451 MAIN ST, BIG STONE CITY, SD 57216(605) 862-7999(605) 862-7998 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avera Medical Group Big Stone City NPPES

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

AVERA MEDICAL GROUP BIG STONE CITY (NPI 1497847446) is a healthcare organization registered as a physician assistant in Big Stone City, South Dakota and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Julie N Norton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1497847446
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameAVERA MCKENNAN
Location Address451 MAIN STBig Stone City, SD 57216
Mailing Address451 Main St, Po Box 145Big Stone City, SD 57216 · (605) 862-7999 · Fax (605) 862-7998
Fax(605) 862-7998
Organization SubpartNo
Authorized OfficialJulie N NortonCfo · (605) 322-6375
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 16, 2011
NPI 1497847446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
451 MAIN ST, Big Stone City, SD 57216

Other Names 1

Doing Business AsAvera Medical Group Big Stone City

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D1054703

Avera Medical Group Big Stone City Clinic · Big Stone City, SD
Active · expires Jan 14, 2027
CLIA Number43D1054703
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorPatrick Dreis
Laboratory Phone(605) 862-7999
Laboratory LocationAvera Medical Group Big Stone City Clinic451 Main Street, Big Stone City, SD 57216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant
451 MAIN ST
BIG STONE CITY, SD 57216

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 1497847446. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is doing business as Avera Medical Group Big Stone City.

Where is Avera Mckennan located?

Avera Mckennan is located at 451 Main St, Big Stone City, SD 57216. The listed phone number is (605) 862-7999.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Avera Mckennan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D1054703) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avera Mckennan accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan 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 March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.