OrganizationActive
Avera Mckennan
NPI 1063432573 · Physician Assistant · Volga, SD
Provider details
- NPI number
- 1063432573
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Avera Mckennan Hospital
- Organization subpart
- Yes
- Authorized official
- Julie Norton, Cfo(605) 322-6375
- License
- 84 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 Kasan Ave
Volga, SD 57071
Phone: (605) 627-5701
Fax: (605) 627-5990
Street-level locationGet directions
Mailing address
210 Kasan Ave
Volga, SD 57071
Other names (DBA / former)
- Doing business as
- Avera Medical Group Volga
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2011-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.