OrganizationActive
Avera Mckennan
NPI 1922357839 · Ambulatory Surgical Clinic/Center · Worthington, MN
Provider details
- NPI number
- 1922357839
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Avera Mckennan
- Organization subpart
- Yes
- Authorized official
- Kelli Vangrouw, Clinic Manager(507) 372-2921
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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 2
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 Surgery Center
Registry dates
- Enumerated
- 2012-09-06
- Last updated
- 2015-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.