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: August 16, 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

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
116 E 11TH ST, STE 101
SPENCER, IA 51301
Nurse Practitioner
116 E 11TH ST
SPENCER, IA 51301
Pathology (Anatomic Pathology & Clinical Pathology)
116 E 11TH ST, SUITE 204
SPENCER, IA 51301
Family Medicine
116 E 11TH ST, SUITE 101
SPENCER, IA 51301
Family Medicine
116 E 11TH ST, SUITE 101
SPENCER, IA 51301
Family Medicine
116 E 11TH ST, SUITE 101
SPENCER, IA 51301
Pharmacy (Community/Retail Pharmacy)
116 E 11TH ST
SPENCER, IA 51301
Family Medicine
116 E 11TH ST, SUITE 101
SPENCER, IA 51301

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.

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.