AVERA MEDICAL GROUP FLANDREAU
NPI 1619948007
Clinic/Center - Rural Health in Flandreau, SD

Q: 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.

Q: What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Q: 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.

Active since February 01, 2006CLIA 43D0406835 · Microscopy

212 NORTH PRAIRIE STREET, FLANDREAU, SD 57028(605) 997-2471(605) 997-2418 Get Directions Write a Review

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

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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

NPI1619948007

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameAVERA MCKENNAN

Location Address212 NORTH PRAIRIE STREETFlandreau, SD 57028-1296

Mailing Address212 North Prairie StreetFlandreau, SD 57028-1296 · (605) 997-2471 · Fax (605) 997-2418

Phone(605) 997-2471

Fax(605) 997-2418

Organization SubpartNo

Authorized OfficialJulie N NortonSenior Vice President Of Finance · (605) 322-6375

Enumeration DateFebruary 1, 2006

Last NPPES UpdateFebruary 16, 2011

✔ NPI 1619948007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

212 NORTH PRAIRIE STREET, Flandreau, SD 57028

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Other Names 1

Doing Business AsAvera Medical Group Flandreau

Other Identifiers 14

Other106366608SD · Department Of Labor

Medicaid80484900WI

Other95027SD · Healthpartners

Other10025485500NE · Rhc Medicaid Ne

Medicaid5340320SD

Other659S2FLMN · Bcbs Of Mn

Other4995978SD · Bcbs Of South Dakota

Other659S2FLMN · Cc Systems Blue Plus

Other9216572SD · Dakotacare

Medicaid10025371500NE

Medicaid126277700MN

Medicare OSCAR/certification433429SD

Medicare PINS40004SD

Medicaid0571919IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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 for Provider-Performed Microscopy Procedures (PPMP) 43D0406835

Avera Medical Group Flandreau · Flandreau, SD

Active · expires Oct 19, 2027

CLIA Number43D0406835

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 20, 2025

Certificate Expiration DateOctober 19, 2027

Laboratory DirectorScott Peterson MD

Laboratory Phone(605) 997-2471

Laboratory LocationAvera Medical Group Flandreau212 North Prairie Street, Flandreau, SD 57028

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 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.

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 and Medica 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.