AVERA MCKENNAN — NPI 1811134638 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in MARSHALL, MN)

CMS-1500 Box 24J / 33a • NPI

1811134638

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207V00000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

300 S BRUCE ST, MARSHALL, MN, 56258-1934

✓ 9-Digit EDI 837 ZIP+4 (56258-1934)

Practice Phone & Referral Fax

(507) 532-9661

Fax: (507) 537-9043

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1811134638 (AVERA MCKENNAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1811134638` (NPI-2 Organization / Facility)
Provider / Legal Name	AVERA MCKENNAN
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207V00000X` (Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	300 S BRUCE ST, MARSHALL, MN, 56258-1934
Practice Telephone / Fax	Tel: (507) 532-9661 \| Fax: (507) 537-9043
Administrative Mailing Address	PO BOX 86370, SIOUX FALLS, SD, 57118-6370
Enumeration & Last Sync	Enumerated: 2009-01-15 \| CMS Record Updated: 2010-04-16
Authorized Official	JULIE NORTON (Senior VP Finance)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

300 S BRUCE ST, MARSHALL, MN, 56258-1934

🗺️ Open in Google Maps 🏥 More Providers in MARSHALL

🔒 Are you AVERA MCKENNAN? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AVERA MCKENNAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

AVERA MCKENNAN (NPI #1811134638)