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
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(88/100 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.
Practice location
1216 Ryans Rd
Worthington, MN 56187-1722
Phone: (507) 372-2921
Fax: (507) 372-5789
Street-level locationGet directions
Mailing address
1216 Ryans Rd
Worthington, MN 56187-1722
Other names (DBA / former)
- Doing business as
- Avera Medical Group Worthington
Registry dates
- 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.