AVERA MEDICAL GROUP BROOKINGS
NPI 1912936535
General Practice in Brookings, SD

Active since July 03, 2006
400 22ND AVE., BROOKINGS, SD 57006(605) 697-9500(605) 697-6939 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avera Medical Group Brookings NPPES

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

AVERA MEDICAL GROUP BROOKINGS (NPI 1912936535) is a healthcare organization registered as a general practice in Brookings, South Dakota and active in the NPI registry since July 2006. The organization lists Julie N Norton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912936535
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAVERA MCKENNAN
Location Address400 22ND AVE.Brookings, SD 57006-2497
Mailing Address400 22nd Ave.Brookings, SD 57006-2497 · (605) 697-9500 · Fax (605) 697-6939
Fax(605) 697-6939
Organization SubpartNo
Authorized OfficialJulie N NortonCfo · (605) 322-6375
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 10, 2011
✔ NPI 1912936535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
400 22ND AVE., Brookings, SD 57006

Other Names 1

Doing Business AsAvera Medical Group Brookings

Other Identifiers 2

Medicare NSC1202730018SD
Medicare PINS42279SD

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

Clinicians Billing Medicare Through This Organization

1,275

Medicare enrollment records show 1,275 clinicians reassign Medicare billing to Avera Medical Group Brookings, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner268
Certified Registered Nurse Anesthetist (CRNA)115
Internal Medicine108
Family Practice107
Pediatric Medicine74
Physical Therapist in Private Practice67
Emergency Medicine49
Obstetrics/Gynecology45
51 other specialties442

Nearest to this location (20)

See all 1,275
Nurse Practitioner
NPI 1669220687
400 22ND AVE
Brookings, SD 57006
(605) 695-9500
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1285839787
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629740857
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1497705461
400 22ND AVE.
Brookings, SD 57006
(605) 697-9500
✔ PECOSSame address
Clinical Social Worker
NPI 1275320673
400 22ND AVE
Brookings, SD 57006
(605) 692-5730
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1770529844
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568690758
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1891015285
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1851634406
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932464435
400 22ND AVE.
Brookings, SD 57002
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174048235
400 22ND AVE
Brookings, SD 57006
(605) 697-9500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861569659
300 22ND AVE
Brookings, SD 57006
(605) 696-9000
✔ Accepts Medicare0.1 mi
Family Practice
NPI 1497193239
922 22ND AVE S
Brookings, SD 57006
(605) 697-1900
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1457031882
1024 6TH ST STE B
Brookings, SD 57006
(605) 322-4079
✔ PECOS✔ Accepts Medicare1.0 mi
Mental Health Counselor
NPI 1447625488
1024 6TH ST STE B
Brookings, SD 57006
(605) 692-5447
✔ PECOS✔ Accepts Medicare1.0 mi
Clinical Social Worker
NPI 1922486901
601 4TH ST STE 101
Brookings, SD 57006
(605) 322-4079
✔ PECOS✔ Accepts Medicare1.4 mi
Psychologist Billing Independently
NPI 1770749442
1310 MAIN AVE S SUITE 9
Brookings, SD 57006
(605) 692-6367
✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1215449905
214 N PRAIRIE ST
Flandreau, SD 57028
(605) 997-2433
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1992348379
212 N PRAIRIE ST
Flandreau, SD 57028
(605) 997-2471
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1811188741
212 N PRAIRIE ST
Flandreau, SD 57028
(605) 997-2471
✔ PECOS✔ Accepts Medicare20 mi
See all 1,275 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 1912936535. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Avera Medical Group Brookings.

Where is Avera Mckennan located?

Avera Mckennan is located at 400 22nd Ave., Brookings, SD 57006. The listed phone number is (605) 697-9500.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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, 11 practice at this address and 17 within 10 miles. 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 10, 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.