Avera Medical Group Granite Falls - Medicare Primary Care in Granite Falls, MN

Avera Medical Group Granite Falls is a medicare enrolled primary clinic (Family Medicine) in Granite Falls, Minnesota. The current practice location for Avera Medical Group Granite Falls is 345 10th Ave, Granite Falls, Minnesota. For appointments, you can reach them via phone at (320) 564-3111. The mailing address for Avera Medical Group Granite Falls is 300 S Bruce St, Marshall, Minnesota and phone number is () -.

Avera Medical Group Granite Falls is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700429644. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (320) 564-3111.

Contact Information

Avera Medical Group Granite Falls
345 10th Ave
Granite Falls
MN 56241-1442
(320) 564-3111
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAvera Medical Group Granite Falls
SpecialityFamily Medicine
Location345 10th Ave, Granite Falls, Minnesota
Authorized Official Name and PositionDebra Streier (PRESIDENT/CEO)
Authorized Official Contact5075379160
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avera Medical Group Granite Falls
300 S Bruce St
Marshall
MN 56258-1934

Ph: () -
Avera Medical Group Granite Falls
345 10th Ave
Granite Falls
MN 56241-1442

Ph: (320) 564-3111

NPI Details:

NPI Number1700429644
Provider Enumeration Date10/23/2019
Last Update Date06/30/2021

Medicare PECOS Information:

Medicare PECOS PAC ID1456784560
Medicare Enrollment IDO20200106000646

Medical Identifiers

Medical identifiers for Avera Medical Group Granite Falls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700429644NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Avera Medical Group Granite Falls acts as a billing entity for following providers:
Provider NameMartin H Janning
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1396963922
PECOS PAC ID: 0749194991
Enrollment ID: I20031113000156
Provider NameEleazar P Briones
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1255338067
PECOS PAC ID: 7315843869
Enrollment ID: I20031208000476
Provider NameSabina Choudhry
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447212899
PECOS PAC ID: 5698678167
Enrollment ID: I20040203000977
Provider NameDaryl C. Rife
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326000811
PECOS PAC ID: 0143123612
Enrollment ID: I20040203001059
Provider NamePatrick A Nelson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518929892
PECOS PAC ID: 2860395340
Enrollment ID: I20040315001034
Provider NameKenneth Hoj
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1053352567
PECOS PAC ID: 5991762239
Enrollment ID: I20041217000501
Provider NameKevin W Peterson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912971581
PECOS PAC ID: 7719954270
Enrollment ID: I20050112000041
Provider NameChristie Ann Van Hecke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215996244
PECOS PAC ID: 3476441551
Enrollment ID: I20050712000424
Provider NameJerome T Durfee
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104016153
PECOS PAC ID: 4183648819
Enrollment ID: I20060420000246
Provider NameThomas Joseph Chapa
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710933502
PECOS PAC ID: 1355354507
Enrollment ID: I20060711000283
Provider NameCurtis Ronald Louwagie
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689688897
PECOS PAC ID: 6901809938
Enrollment ID: I20060814000068
Provider NameNoah N Chelliah
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952485740
PECOS PAC ID: 9032166038
Enrollment ID: I20061205000606
Provider NameDaniel F Florey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629035365
PECOS PAC ID: 0345240537
Enrollment ID: I20070112000076
Provider NameDenay Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376505131
PECOS PAC ID: 7113998774
Enrollment ID: I20070515000497
Provider NameChristopher Gregory
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821050212
PECOS PAC ID: 3971498544
Enrollment ID: I20071106000268
Provider NameSandra K Hanson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1750367512
PECOS PAC ID: 2466501820
Enrollment ID: I20090514000520
Provider NameSteven L Kidd
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1700852589
PECOS PAC ID: 3577604396
Enrollment ID: I20091230000515
Provider NameSteven R Bell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1417923723
PECOS PAC ID: 7113823964
Enrollment ID: I20100111000832
Provider NameArthur J Rillo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619943404
PECOS PAC ID: 9234271677
Enrollment ID: I20100122000209
Provider NameDarrell L Carter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013976794
PECOS PAC ID: 8729122858
Enrollment ID: I20100212000472
Provider NameBrad Alan Paulson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750343232
PECOS PAC ID: 4587656129
Enrollment ID: I20100818000189
Provider NameRyan David Jepperson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184836199
PECOS PAC ID: 5799800470
Enrollment ID: I20101109001568
Provider NameAndrew I Soye
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790747905
PECOS PAC ID: 4880597350
Enrollment ID: I20110222001138
Provider NameEnrico Jl Ocampo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174501159
PECOS PAC ID: 3870533359
Enrollment ID: I20111129000362
Provider NameMatthew S Helgeson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568429397
PECOS PAC ID: 8729072699
Enrollment ID: I20120405000164
Provider NameThomas G Lewison
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1790034742
PECOS PAC ID: 3779733928
Enrollment ID: I20121024000110
Provider NameTimothy K Joyce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447696687
PECOS PAC ID: 0042450918
Enrollment ID: I20130717000670
Provider NameKevin K Casper
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609213453
PECOS PAC ID: 1254573496
Enrollment ID: I20130816000755
Provider NameVikram Chatrath
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1205264074
PECOS PAC ID: 1254567449
Enrollment ID: I20131118000767
Provider NameMatthew R Casey
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740227933
PECOS PAC ID: 4385656149
Enrollment ID: I20140324001233
Provider NameSuzanne L Woodward
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437275138
PECOS PAC ID: 8224220157
Enrollment ID: I20140324001653
Provider NameDaniel L Crosby
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619939139
PECOS PAC ID: 1658565205
Enrollment ID: I20140324001976
Provider NameJoseph J Baka
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538121017
PECOS PAC ID: 3274726625
Enrollment ID: I20140325001611
Provider NameGanesh Asaithambi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1588807143
PECOS PAC ID: 5698918852
Enrollment ID: I20140717000325
Provider NameJesse James Corry
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215964499
PECOS PAC ID: 3577568823
Enrollment ID: I20140729000823
Provider NameKatherine Esse
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1720255367
PECOS PAC ID: 9537385471
Enrollment ID: I20140729001934
Provider NameAjay B Shalwala
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770711889
PECOS PAC ID: 9032359989
Enrollment ID: I20140804000193
Provider NameJoann Lorraine Steinbach
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659799609
PECOS PAC ID: 6406174887
Enrollment ID: I20150415000804
Provider NameJennifer L Hillestad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407234982
PECOS PAC ID: 9133430762
Enrollment ID: I20150623001302
Provider NameTracy Huntington
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225297724
PECOS PAC ID: 8426121781
Enrollment ID: I20150713002283
Provider NameTroy C Bruns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699141929
PECOS PAC ID: 4981911013
Enrollment ID: I20150922000924
Provider NameMegan J Hora
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942590419
PECOS PAC ID: 9537458021
Enrollment ID: I20160524000350
Provider NameAlain Desy
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1922003409
PECOS PAC ID: 6103712773
Enrollment ID: I20160531002099
Provider NameKevin J Mahoney
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1912344151
PECOS PAC ID: 6406147073
Enrollment ID: I20160629001157
Provider NameMaggie J Limoges
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1104119965
PECOS PAC ID: 1850683517
Enrollment ID: I20160718000191
Provider NameWangcai Gao
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1710253752
PECOS PAC ID: 5991000820
Enrollment ID: I20160824002278
Provider NameLauren A O'brien
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447513379
PECOS PAC ID: 5799931143
Enrollment ID: I20160919001962
Provider NameTamala J Schmitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154870640
PECOS PAC ID: 2163700139
Enrollment ID: I20161025003115
Provider NameAmanda K Enestvedt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609323484
PECOS PAC ID: 5698053106
Enrollment ID: I20161102002767
Provider NameKeyurkumar Shah
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1508919804
PECOS PAC ID: 7911989793
Enrollment ID: I20170105000452
Provider NameNathan Ho-tai Sit
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1619236098
PECOS PAC ID: 1557666401
Enrollment ID: I20170608002269
Provider NameKevin J Turneau
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427032572
PECOS PAC ID: 9032161609
Enrollment ID: I20170619001228
Provider NameTapan C Thacker
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1376818757
PECOS PAC ID: 8022242650
Enrollment ID: I20170628001426
Provider NameJane M Vansickle
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992852602
PECOS PAC ID: 7416220884
Enrollment ID: I20170906002970
Provider NameDaniel T Offerdahl
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467968925
PECOS PAC ID: 1355604083
Enrollment ID: I20180411001927
Provider NameKasey A Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770062804
PECOS PAC ID: 9234489980
Enrollment ID: I20180830001574
Provider NameAnders S Grinde
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558627760
PECOS PAC ID: 3870895295
Enrollment ID: I20180926002010
Provider NameTina Y King
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1619413226
PECOS PAC ID: 2769735265
Enrollment ID: I20181031000698
Provider NameSarah Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043785199
PECOS PAC ID: 2668726456
Enrollment ID: I20181114001061
Provider NameMatthew R Frank
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568874758
PECOS PAC ID: 4880973221
Enrollment ID: I20190708000124
Provider NameMatthew T Pardy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306808720
PECOS PAC ID: 9335109446
Enrollment ID: I20190812003287
Provider NameMegan E Flemming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326673427
PECOS PAC ID: 0345679361
Enrollment ID: I20200326001485
Provider NameAli Emami
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1275792293
PECOS PAC ID: 3072760230
Enrollment ID: I20200512000593
Provider NameSherrie Marie Brooks
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720060858
PECOS PAC ID: 1355247362
Enrollment ID: I20200521000111
Provider NameReyanna G Massaquoi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1417330531
PECOS PAC ID: 8921300468
Enrollment ID: I20200702001668
Provider NameRosa E Rios Avendano
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1720514672
PECOS PAC ID: 6608136908
Enrollment ID: I20200727000092
Provider NameAngela F Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811521446
PECOS PAC ID: 8022434158
Enrollment ID: I20200819002077
Provider NameAnna R F Gregoire
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1700231891
PECOS PAC ID: 9739432170
Enrollment ID: I20200831002994
Provider NameMegan E Albertson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013334911
PECOS PAC ID: 0143447771
Enrollment ID: I20201007001879
Provider NameDaniel L Sova
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528370590
PECOS PAC ID: 9234376344
Enrollment ID: I20210521000814
Provider NameJennifer Ann Monson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083208904
PECOS PAC ID: 7416345970
Enrollment ID: I20211102002949
Provider NameKristen A Altermatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194483156
PECOS PAC ID: 9830581784
Enrollment ID: I20220126001896
Provider NameAmber Malikowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619563954
PECOS PAC ID: 6103211792
Enrollment ID: I20220317001177
Provider NameEmmy Ho
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700894474
PECOS PAC ID: 5395706691
Enrollment ID: I20220510002672
Provider NameDavid F Manke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992123582
PECOS PAC ID: 4880812916
Enrollment ID: I20220519000481
Provider NameWade Sendelbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033548854
PECOS PAC ID: 1355676909
Enrollment ID: I20220621001545
Provider NameKassandra Elizabeth Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619626652
PECOS PAC ID: 7214318708
Enrollment ID: I20220714002443
Provider NameNicole Elizabeth Falls
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1841727443
PECOS PAC ID: 9830469774
Enrollment ID: I20220802000352
Provider NameSandra Kay Turbes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114676178
PECOS PAC ID: 8921481631
Enrollment ID: I20220812001956

Reviews and Comments


Family Medicine in Granite Falls, MN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.