AVERA MEDICAL GROUP FLANDREAU
NPI 1619948007
Clinic/Center - Rural Health in Flandreau, SD
About Avera Medical Group Flandreau NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP FLANDREAU (NPI 1619948007) is a healthcare organization registered as a rural health in Flandreau, South Dakota and active in the NPI registry since February 2006. The organization holds a CLIA Microscopy certificate valid through October 19, 2027 and lists Julie N Norton, Senior Vice President Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 14
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 Medical Group Flandreau 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 Medical Group Flandreau, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 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 1,275Pipestone, MN 56164
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 43D0406835
Avera Medical Group Flandreau · Flandreau, SDFrequently 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 1619948007. It was assigned to this organization in the NPPES registry on February 1, 2006. The provider is doing business as Avera Medical Group Flandreau.
Where is Avera Mckennan located?
Avera Mckennan is located at 212 North Prairie Street, Flandreau, SD 57028. The listed phone number is (605) 997-2471.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avera Mckennan hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 43D0406835) is associated with this NPI, valid through October 19, 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 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 February 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.
# Avera Medical Group Flandreau · NPI 1619948007
Rural Health organization in Flandreau, South Dakota. Organization record, active in the CMS NPPES registry since February 1, 2006.
## Identity
- **NPI:** 1619948007 (Entity type: Organization)
- **Enumerated:** February 1, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Avera Mckennan
- **Organization subpart:** No
- **Authorized official:** Julie Norton, SENIOR VICE PRESIDENT OF FINANCE
## Practice location
- **Address:** 212 NORTH PRAIRIE STREET, Flandreau, SD 57028-1296
- **Phone:** (605) 997-2471 · **Fax:** (605) 997-2418
## 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); 4 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1619948007/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2011
- **Other identifiers:** Other 106366608 (SD); Medicaid 80484900 (WI); Other 95027 (SD); and 11 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619948007) · Data from the CMS NPPES public registry.