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.

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

Practice location

1216 Ryans Rd

Suite 1

Worthington, MN 56187-1722

Phone: (507) 372-2921

Fax: (507) 372-5789

Street-level locationGet directions

More MN providers

Mailing address

221 3rd Ave N

Lakefield, MN 56150-1123

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities

Other names (DBA / former)

Former legal business name: Avera Mckennan Dba Avera Lakefield Clinic
Doing business as: Avera Medical Group Lakefield

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
20 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions