Avera McKennan
NPI 1568662872ActiveOrganization· Nurse Anesthetist, Certified Registered· Sioux Falls, SD
Nurse Anesthetist, Certified Registered in Sioux Falls, South Dakota, registered in NPPES in July 2007. The authorized official on file is Ronald Joseph Place, MD, President/Ceo.
Overview
| NPI | 1568662872 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2007 |
| Last updated in NPPES | Oct 4, 2023 |
| Certified by provider | Oct 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 10563 | 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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