Avera Mckennan
NPI 1588677892 · Rural Health Clinic/Center · Revillo, SD
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avera Mckennan is a Rural Health Clinic/Center organization in Revillo, SD (NPI 1588677892).
Provider details
- NPI number
- 1588677892
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Flicek, President/Ceo(605) 322-7915
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Avera Medical Group Revillo
- Doing business as
- Avera Medical Group Revillo
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Frequently asked questions
- What is Avera Mckennan's NPI number?
- Avera Mckennan's National Provider Identifier (NPI) is 1588677892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avera Mckennan?
- Avera Mckennan is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Avera Mckennan located?
- Avera Mckennan's practice location on file with NPPES is 305 N 2nd Ave, Revillo, SD 57259-0006.
- What is Avera Mckennan's phone number?
- The practice phone number listed in the NPPES registry for Avera Mckennan is (605) 623-4695.
- Does Avera Mckennan accept Medicare?
- Avera Mckennan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Avera Mckennan?
- The authorized official listed on Avera Mckennan's NPPES record is David Flicek, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avera Mckennan's NPI active?
- Yes — Avera Mckennan's NPI (1588677892) is active in the NPPES registry as of the last update on 2021-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.