WAKPALA CLINIC
NPI 1104971738
Clinic/Center - Public Health, Federal in Wakpala, SD
About Wakpala Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAKPALA CLINIC (NPI 1104971738) is a healthcare organization registered as a public health, federal in Wakpala, South Dakota and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Fort Yates and lists Jana Rhea Gipp, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wakpala Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Wakpala Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (11)
Colorado Springs, CO 80907
Oceanside, NY 11572
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 Fort Yates Indian Health Service Hospital's NPI number?
The NPI number for Fort Yates Indian Health Service Hospital is 1104971738. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is also known as Wakpala Clinic.
Where is Fort Yates Indian Health Service Hospital located?
Fort Yates Indian Health Service Hospital is located at 420 Prairie Avenue, Wakpala, SD 57658. The listed phone number is (605) 845-3092.
What is Fort Yates Indian Health Service Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.
Is Fort Yates Indian Health Service Hospital enrolled in Medicare?
Yes. Fort Yates Indian Health Service Hospital is registered in the Medicare PECOS enrollment system.
When is Fort Yates Indian Health Service Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (North Dakota, Critical Access Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fort Yates Indian Health Service Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Fort Yates Indian Health Service Hospital. 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 Emergency Medicine (4), Nurse Practitioner (3) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fort Yates Indian Health Service Hospital was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Wakpala Clinic · NPI 1104971738
Public Health, Federal organization in Wakpala, South Dakota. Organization record, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1104971738 (Entity type: Organization)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Clinic/Center - Public Health, Federal · taxonomy 261QP0904X
- **Legal business name:** Fort Yates Indian Health Service Hospital
- **Organization subpart:** No
- **Authorized official:** Jana Gipp, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 420 PRAIRIE AVENUE, Wakpala, SD 57658-9998
- **Phone:** (605) 845-3092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, North Dakota, Critical Access Hospital) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (4), Nurse Practitioner (3), Internal Medicine (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104971738) · Data from the CMS NPPES public registry.