Avera McKennan

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AVERA MCKENNAN

Doing business as

Avera Dermatology
Avera Medical Group Dermatology Sioux Falls

Practice address

6701 S Minnesota Ave
Sioux Falls, SD 57108-2591

Phone

(605) 322-6960

Fax

(605) 322-6961

NPI assigned

Feb 23, 2006

Last updated

Mar 12, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald J Place

Title

Ceo/President

Phone

(605) 322-8000

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 2

• Avera Dermatology Doing business as
• Avera Medical Group Dermatology Sioux Falls Doing business as

Medicare fee-for-service enrollment

Enrolled in SD, MN, IA3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Avera McKennan

  dba Avera Medical Group Urogynecology Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1003188269

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Rheumatology Sioux Falls

  • Rheumatology Physician
  • Sioux Falls, SD
  • NPI 1013177393

  O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group University Psychiatry Associates Sioux Falls

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Oncology and Hematology Sioux Falls

  • Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1033185582

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Nephrology

  • Nephrology Physician
  • Sioux Falls, SD
  • NPI 1104892892

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Brain and Spine Institute

  • Neurological Surgery Physician
  • Sioux Falls, SD
  • NPI 1114113693

  O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1134195332

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group McHale Institute

  • Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1164780201

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Maternal Fetal Medicine Sioux Falls

  • Maternal & Fetal Medicine Physician
  • Sioux Falls, SD
  • NPI 1205808748

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Womens Health Specialists Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  O20040109001102, O20040206000384

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Brook Bahnson, MD

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1073177853
  NPD
• Kimberly Dawn Dewing, PA-C

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1629373550
  NPD
• Sarah Catherine Engbers, PA-C

  • Medical Physician Assistant
  • Sioux Falls, SD
  • NPI 1154756054
  NPD
• Valerie Flynn

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1992996771
  NPD
• Emily Elizabeth Gaster, M.D.

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1669836276
  NPD
• Lainee Goettsche, MD

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1033647177
  NPD
• Chandler Jansen, MD

  • MOHS-Micrographic Surgery Physician
  • Sioux Falls, SD
  • NPI 1528687043
  NPD
• Julie Nicole Johnson, NP

  • Family Nurse Practitioner
  • Aberdeen, SD
  • NPI 1386906733
  NPD
• Paige Frances Lockwood Jones, PA-C

  • Physician Assistant
  • Brookings, SD
  • NPI 1700202942
  NPD
• Mackenzie Jo Kasten, PA

  • Physician Assistant
  • Clear Lake, SD
  • NPI 1003624610
  NPD
• Brian Dennis Knutson, M.D.

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1720054539
  NPD
• Jenny Lynn Nelson, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sioux Falls, SD
  • NPI 1578737367

  Dermatology

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1346216074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082591",
            "telephone_number": "605-322-6960",
            "fax_number": "605-322-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S State St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574014501",
            "country_code": "US",
            "telephone_number": "605-622-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 S Highline Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571101008",
            "country_code": "US",
            "telephone_number": "605-504-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 S Marion Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571063650",
            "country_code": "US",
            "telephone_number": "605-322-6869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "605-322-8000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "83986",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "040122003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0040219",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115182700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "370624200",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "396S9MI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0554733",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "396S9MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Medical Group Dermatology Sioux Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan (Avera Medical Group McGreevy Southeastern Avenue)
• Avera McKennan (Headache Center)
• Avera McKennan (Avera 7th Avenue Pharmacy)
• Avera McKennan (Avera Medical Group Ear, Nose & Throat)
• Avera McKennan (Avera Medical Group Womens Health Specialists Sioux Falls)
• Avera McKennan (Avera Specialty Pharmacy)
• Avera McKennan (Avera Medical Group McGreevy Dawley Farm)
• Avera McKennan (Avera Medical Group Palliative Medicine Sioux Falls)
• Avera McKennan (Avera Medical Group)
• Avera McKennan (Avera Healthworks)

• Dermatology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Dermatology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.