Avera McKennan Hospital Medical Staff
NPI 1275984403ActiveOrganization· Nurse Practitioner, Family· Sioux Falls, SD
Nurse Practitioner, Family in Sioux Falls, South Dakota, registered in NPPES in June 2016. The authorized official on file is Justin Garry, MHA, FACHE, FACMPE, Clinic Administrative Manager.
Overview
| NPI | 1275984403 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2016 |
| Last updated in NPPES | Jun 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | CP001103 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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