SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
NPI 1013933381
Family Medicine in Prior Lake, MN
About Shakopee Mdewakanton Sioux Community NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY (NPI 1013933381), doing business as Shakopee Dakota Clinic, is a healthcare organization registered as a family medicine in Prior Lake, Minnesota and active in the NPI registry since July 2006. The organization maintains 3 additional practice locations and lists Melaine J Dunlap, Health Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Names 1
Secondary Practice Locations 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shakopee Mdewakanton Sioux Community is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Shakopee Mdewakanton Sioux Community, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shakopee Mdewakanton Sioux Community's NPI number?
The NPI number for Shakopee Mdewakanton Sioux Community is 1013933381. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Shakopee Dakota Clinic.
Where is Shakopee Mdewakanton Sioux Community located?
Shakopee Mdewakanton Sioux Community is located at 2330 Sioux Trl NW, Prior Lake, MN 55372. The listed phone number is (952) 496-6150.
What is Shakopee Mdewakanton Sioux Community's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shakopee Mdewakanton Sioux Community enrolled in Medicare?
Yes. Shakopee Mdewakanton Sioux Community is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shakopee Mdewakanton Sioux Community?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 7 Medicare specialties reassign their Medicare billing to Shakopee Mdewakanton Sioux Community. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (5), Mental Health Counselor (2) and Optometry (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shakopee Mdewakanton Sioux Community was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shakopee Mdewakanton Sioux Community · NPI 1013933381
Family Medicine organization in Prior Lake, Minnesota. Organization record, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1013933381 (Entity type: Organization)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Shakopee Dakota Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Melaine Dunlap, HEALTH DIRECTOR
## Practice location
- **Address:** 2330 SIOUX TRL NW, Prior Lake, MN 55372-9077
- **Phone:** (952) 496-6150 · **Fax:** (952) 233-4224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (5), Mental Health Counselor (2), Optometry (2); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1013933381) · Data from the CMS NPPES public registry.