OrganizationActive
Avera Mckennan
NPI 1629175005 · Clinic/Center · Worthington, MN
Avera Mckennan is a Clinic/Center organization in Worthington, MN (NPI 1629175005).
Provider details
- NPI number
- 1629175005
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Norton, Cfo/Svp(605) 322-7818
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 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
1216 Ryans Rd
Suite 1
Worthington, MN 56187-1722
Phone: (507) 372-2921
Fax: (507) 372-5789
Street-level locationGet directions
Mailing address
221 3rd Ave N
Lakefield, MN 56150-1123
Other names (DBA / former)
- Former legal business name
- Avera Mckennan Dba Avera Lakefield Clinic
- Doing business as
- Avera Medical Group Lakefield
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2017-05-31
Frequently asked questions
- What is Avera Mckennan's NPI number?
- Avera Mckennan's National Provider Identifier (NPI) is 1629175005, 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 Clinic/Center (Ambulatory Health Care Facilities).
- Where is Avera Mckennan located?
- Avera Mckennan's practice location on file with NPPES is 1216 Ryans Rd, Worthington, MN 56187-1722.
- What is Avera Mckennan's phone number?
- The practice phone number listed in the NPPES registry for Avera Mckennan is (507) 372-2921.
- Who is the authorized official for Avera Mckennan?
- The authorized official listed on Avera Mckennan's NPPES record is Julie Norton, Cfo/Svp. 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 (1629175005) is active in the NPPES registry as of the last update on 2017-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.