ROOT FUNCTION WELLNESS PLLC
NPI 1437629128
Clinic/Center - Primary Care in Watertown, SD

Active since November 26, 2018
2320 9TH AVE SE, WATERTOWN, SD 57201(605) 753-0920 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Root Function Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOT FUNCTION WELLNESS PLLC (NPI 1437629128) is a healthcare organization registered as a primary care in Watertown, South Dakota and active in the NPI registry since November 2018. The organization lists Amy Wagoner, Member, as its authorized official.

NPPES Registry Identity

NPI1437629128
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROOT FUNCTION WELLNESS PLLC
Location Address2320 9TH AVE SEWatertown, SD 57201-7112
Mailing Address6554 9th Ave SwWatertown, SD 57201-7099 · (605) 880-0679
Organization SubpartNo
Authorized OfficialAmy WagonerMember · (605) 880-0679
Enumeration DateNovember 26, 2018
✔ NPI 1437629128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2320 9TH AVE SE, Watertown, SD 57201

Other Identifiers 1

Medicaid1376554568SD

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Root Function Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Root Function Wellness PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1841136223
1014 14TH ST SE
Watertown, SD 57201
(605) 753-0920
✔ PECOS0.8 mi
Family Practice
NPI 1376554568
901 4TH ST NW
Watertown, SD 57201
(605) 886-8471
✔ PECOS2.6 mi

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 Root Function Wellness PLLC's NPI number?

The NPI number for Root Function Wellness PLLC is 1437629128. It was assigned to this organization in the NPPES registry on November 26, 2018.

Where is Root Function Wellness PLLC located?

Root Function Wellness PLLC is located at 2320 9th Ave SE, Watertown, SD 57201. The listed phone number is (605) 753-0920.

What is Root Function Wellness PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Root Function Wellness PLLC enrolled in Medicare?

Yes. Root Function Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Root Function Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Root Function Wellness PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice 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 Root Function Wellness PLLC was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.