AVERA MCKENNAN
NPI 1558337899
Pediatrics in Sioux Falls, SD

Active since February 27, 2006
1417 S. CLIFF AVE., STE. 010, SIOUX FALLS, SD 57105(605) 322-3666(605) 322-3665 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2026, Oct 24, 2018 (2 updates tracked since 2018).

About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1558337899), doing business as Avera Medical Group Pediatric Specialists Sioux Falls, is a healthcare organization registered as a pediatrics in Sioux Falls, South Dakota and active in the NPI registry since February 2006. The organization maintains a secondary practice location in Sioux Falls and lists Ronald J Place, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1558337899
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameAVERA MCKENNAN
Location Address1417 S. CLIFF AVE., STE. 010Sioux Falls, SD 57105-1014
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Fax(605) 322-3665
Organization SubpartNo
Authorized OfficialRonald J PlaceCeo/president · (605) 322-8000
Enumeration DateFebruary 27, 2006
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1558337899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1417 S. CLIFF AVE., Sioux Falls, SD 57105

Other Names 2

Doing Business AsAvera Medical Group Pediatric Specialists Sioux Falls
Doing Business AsAvera Pediatric Specialists Clinic

Secondary Practice Location 1

Location 1911 E 20th St Ste 510Sioux Falls, SD 57105-1042 · Phone (605) 322-3666

Other Identifiers 9

Other000080878MN · Primewest
Medicaid0248534IA
Other65740SD · Healthpartners
Other0006729SD · Bcbs
Other3D887KUMN · Blue Plus
Medicaid200806800MN
Other370624200SD · Dept Of Labor
Other3D887KUMN · Bcbs
Other250R5PEMN · Bcbs Worthington

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

1,303

Medicare enrollment records show 1,303 clinicians reassign Medicare billing to Avera Mckennan, which bills Medicare for the services they deliver. Of these, 76 practice at this address and 767 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner284
Family Practice116
Certified Registered Nurse Anesthetist (CRNA)115
Internal Medicine109
Pediatric Medicine74
Physical Therapist in Private Practice67
Emergency Medicine49
Obstetrics/Gynecology45
51 other specialties444

Nearest to this location (20)

See all 1,303
Internal Medicine
NPI 1487898540
1417 S CLIFF AVE STE 610
Sioux Falls, SD 57105
(605) 322-8920
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1265408728
1417 S. CLIFF AVE STE. 010
Sioux Falls, SD 57105
(605) 322-3666
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1811945439
1417 S CLIFF AVE STE 201
Sioux Falls, SD 57105
(605) 322-3666
✔ PECOSSame address
Nurse Practitioner
NPI 1902878523
1417 S CLIFF AVE STE 100
Sioux Falls, SD 57105
(605) 322-8937
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346992310
1417 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-3477
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1649819905
1417 S CLIFF AVE STE 300
Sioux Falls, SD 57105
(605) 504-3042
✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1740490499
1417 S CLIFF AVE STE 200
Sioux Falls, SD 57105
(605) 322-4130
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1053160069
1417 S CLIFF AVE PLAZA 1 SUITE 300
Sioux Falls, SD 57105
(605) 504-3020
✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1952308397
1417 S. CLIFF AVE. STE. 401
Sioux Falls, SD 57105
(605) 322-8920
✔ PECOSSame address
Otolaryngology
NPI 1073564993
1417 S CLIFF AVE STE 300
Sioux Falls, SD 57105
(605) 504-3000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1144237280
1417 S. CLIFF AVE STE 200
Sioux Falls, SD 57105
(605) 322-6675
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1760691794
1417 S CLIFF AVE STE 300
Sioux Falls, SD 57105
(605) 322-8630
✔ PECOS✔ Accepts MedicareSame address
Hematopoietic Cell Transplantation and Cellular Therapy
NPI 1770144339
1000 E 23RD ST STE 200
Sioux Falls, SD 57105
(605) 322-3035
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1760625768
1000 E 23RD ST STE 100
Sioux Falls, SD 57105
(605) 322-1625
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1861780108
1000 E 23RD ST STE 200
Sioux Falls, SD 57105
(605) 322-3035
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1437610920
1000 E 23RD ST STE 360
Sioux Falls, SD 57105
(605) 322-3950
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1265930184
1000 E 23RD ST
Sioux Falls, SD 57105
(605) 322-1554
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1013983352
1000 E. 23RD ST. STE. 200
Sioux Falls, SD 57105
(605) 322-3035
✔ PECOSSame address
Gynecological Oncology
NPI 1871751867
1000 E. 23RD ST. STE. 350
Sioux Falls, SD 57105
(605) 322-7535
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1700222148
1000 E 23RD ST STE 230
Sioux Falls, SD 57105
(605) 322-6900
✔ PECOS✔ Accepts MedicareSame address
See all 1,303 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 1558337899. It was assigned to this organization in the NPPES registry on February 27, 2006. The provider is doing business as Avera Medical Group Pediatric Specialists Sioux Falls and Avera Pediatric Specialists Clinic.

Where is Avera Mckennan located?

Avera Mckennan is located at 1417 S. Cliff Ave. Ste. 010, Sioux Falls, SD 57105. The listed phone number is (605) 322-3666.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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), 1,303 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 (284), Family Practice (116) and Certified Registered Nurse Anesthetist (CRNA) (115). Of these, 76 practice at this address and 767 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 March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.