AVERA MEDICAL GROUP SPENCER
NPI 1902886567
Family Medicine in Spencer, IA

Active since January 19, 2006
116 E 11TH ST, SUITE 101, SPENCER, IA 51301(712) 264-3500(712) 264-3535 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avera Medical Group Spencer NPPES

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

AVERA MEDICAL GROUP SPENCER (NPI 1902886567) is a healthcare organization registered as a family medicine in Spencer, Iowa and active in the NPI registry since January 2006. The organization lists Julie N Norton, V.p. Finance, as its authorized official.

NPPES Registry Identity

NPI1902886567
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVERA MCKENNAN
Location Address116 E 11TH ST, SUITE 101Spencer, IA 51301-4364
Mailing Address116 E 11th St, Suite 101Spencer, IA 51301-4364 · (712) 264-3500 · Fax (712) 264-3535
Fax(712) 264-3535
Organization SubpartNo
Authorized OfficialJulie N NortonV.p. Finance · (605) 322-6375
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMarch 12, 2012
✔ NPI 1902886567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
116 E 11TH ST, Spencer, IA 51301

Other Names 1

Doing Business AsAvera Medical Group Spencer

Other Identifiers 3

Medicaid0252791IA
Medicare ID-Type UnspecifiedI5491IA · Group Medicare Provider
Medicare NSC1202730014IA

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Spencer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

70

Medicare enrollment records show 70 clinicians reassign Medicare billing to Avera Medical Group Spencer, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner26
Family Practice16
Pulmonary Disease6
Internal Medicine5
Cardiovascular Disease (Cardiology)4
Orthopedic Surgery3
Diagnostic Radiology2
Neurology2
5 other specialties6

Nearest to this location (20)

See all 70
Family Practice
NPI 1144290313
116 E 11TH ST SUITE 101
Spencer, IA 51301
(712) 264-3500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689074114
600 9TH AVE N
Sibley, IA 51249
(712) 754-3658
✔ PECOS✔ Accepts Medicare35 mi
Family Practice
NPI 1891959839
600 9TH AVE N
Sibley, IA 51249
(712) 754-3658
✔ PECOS✔ Accepts Medicare35 mi
Family Practice
NPI 1710418074
600 9TH AVE
Sibley, IA 51249
(712) 754-3658
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1699366617
600 9TH AVE N
Sibley, IA 51249
(712) 754-2900
✔ PECOS✔ Accepts Medicare35 mi
Neurology
NPI 1326273681
1301 S CLIFF AVE SUITE 506
Sioux Falls, SD 57105
(605) 335-0844
✔ PECOS✔ Accepts Medicare83 mi
Pulmonary Disease
NPI 1093245912
1301 S CLIFF AVE STE 601
Sioux Falls, SD 57105
(605) 322-6930
✔ PECOS✔ Accepts Medicare83 mi
Neurosurgery
NPI 1346482890
1301 S. CLIFF AVE. STE. 610
Sioux Falls, SD 57105
(605) 322-8860
✔ PECOS✔ Accepts Medicare83 mi
Pulmonary Disease
NPI 1285667949
1301 S CLIFF AVE STE 601
Sioux Falls, SD 57105
(605) 322-6930
✔ PECOS✔ Accepts Medicare83 mi
Neurology
NPI 1861408676
1301 S CLIFF AVE SUITE 506
Sioux Falls, SD 57105
(605) 335-0844
✔ PECOS✔ Accepts Medicare83 mi
Cardiovascular Disease (Cardiology)
NPI 1124283296
1417 S. CLIFF AVE., STE. 010
Sioux Falls, SD 57105
(605) 322-3666
✔ PECOS✔ Accepts Medicare83 mi
Nephrology
NPI 1205179470
1315 S CLIFF AVE STE 2000
Sioux Falls, SD 57105
(605) 322-5800
✔ PECOS✔ Accepts Medicare83 mi
Orthopedic Surgery
NPI 1861615155
911 E 20TH ST STE 300
Sioux Falls, SD 57105
(605) 322-1300
✔ PECOS✔ Accepts Medicare83 mi
Sports Medicine
NPI 1508185794
911 E 20TH ST STE 300
Sioux Falls, SD 57105
(605) 322-1300
✔ PECOS✔ Accepts Medicare83 mi
Diagnostic Radiology
NPI 1568429397
1325 S CLIFF AVE
Sioux Falls, SD 57105
(605) 322-4878
✔ PECOS✔ Accepts Medicare83 mi
Internal Medicine
NPI 1497790984
1200 S 7TH AVE STE 2
Sioux Falls, SD 57105
(605) 336-2140
✔ PECOS83 mi
Internal Medicine
NPI 1275578403
1200 S 7TH AVE
Sioux Falls, SD 57105
(605) 336-2140
✔ PECOS✔ Accepts Medicare83 mi
Orthopedic Surgery
NPI 1730396904
6100 S LOUISE AVE STE 2100
Sioux Falls, SD 57108
(605) 504-1100
✔ PECOS✔ Accepts Medicare85 mi
Rheumatology
NPI 1679864375
6100 S LOUISE AVE STE 1130
Sioux Falls, SD 57108
(605) 504-1600
✔ PECOS✔ Accepts Medicare85 mi
Podiatry
NPI 1962418178
2100 S MARION RD
Sioux Falls, SD 57106
(605) 322-5180
✔ PECOS✔ Accepts Medicare87 mi
See all 70 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 1902886567. It was assigned to this organization in the NPPES registry on January 19, 2006. The provider is doing business as Avera Medical Group Spencer.

Where is Avera Mckennan located?

Avera Mckennan is located at 116 E 11th St Suite 101, Spencer, IA 51301. The listed phone number is (712) 264-3500.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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), 70 clinicians in 13 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 (26), Family Practice (16) and Pulmonary Disease (6). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.