What is Avera Mckennan's NPI number?

Avera Mckennan's National Provider Identifier (NPI) is 1700062213, 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 Clinical Medical Laboratory (Laboratories).

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 Kelli Van Grouw, Clinic Manager. 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 (1700062213) is active in the NPPES registry as of the last update on 2013-04-01.

OrganizationActive

Avera Mckennan

NPI 1700062213 · Clinical Medical Laboratory · Worthington, MN

Avera Mckennan is a Clinical Medical Laboratory organization in Worthington, MN (NPI 1700062213).

Provider details

NPI number: 1700062213
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Parent organization: Avera Mckennan
Organization subpart: Yes
Authorized official: Kelli Van Grouw, Clinic Manager(507) 372-2921

Practice location

1216 Ryans Rd

Worthington, MN 56187-1722

Phone: (507) 372-2921

Fax: (507) 372-5789

Street-level locationGet directions

More MN providers

Mailing address

1216 Ryans Rd

Worthington, MN 56187-1722

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000X
Laboratories

Other names (DBA / former)

Doing business as: Avera Medical Group Worthington

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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: 2008-01-15
Last updated: 2013-04-01

Frequently asked questions

What is Avera Mckennan's NPI number?: Avera Mckennan's National Provider Identifier (NPI) is 1700062213, 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 Clinical Medical Laboratory (Laboratories).
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 Kelli Van Grouw, Clinic Manager. 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 (1700062213) is active in the NPPES registry as of the last update on 2013-04-01.

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