SISSETON-WAHPETON OYATE ASNIYAPI FIELD HEALTH CLINIC
NPI 1629858519
Nurse Practitioner - Primary Care in Sisseton, SD
About Sisseton-wahpeton Oyate Asniyapi Field Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SISSETON-WAHPETON OYATE ASNIYAPI FIELD HEALTH CLINIC (NPI 1629858519) is a healthcare organization registered as a primary care in Sisseton, South Dakota and active in the NPI registry since September 2023. The organization lists Elise Johnson, Swo Tribal Health Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
Sisseton-wahpeton Oyate Asniyapi Field Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Sisseton Wahpeton Oyate Of The Lake Traverse Reservation's NPI number?
The NPI number for Sisseton Wahpeton Oyate Of The Lake Traverse Reservation is 1629858519. It was assigned to this organization in the NPPES registry on September 29, 2023. The provider is doing business as Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic.
Where is Sisseton Wahpeton Oyate Of The Lake Traverse Reservation located?
Sisseton Wahpeton Oyate Of The Lake Traverse Reservation is located at 114 Lake Traverse Dr Ste 102, Sisseton, SD 57262. The listed phone number is (833) 674-3444.
What is Sisseton Wahpeton Oyate Of The Lake Traverse Reservation's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Sisseton Wahpeton Oyate Of The Lake Traverse Reservation enrolled in Medicare?
Yes. Sisseton Wahpeton Oyate Of The Lake Traverse Reservation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sisseton Wahpeton Oyate Of The Lake Traverse Reservation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sisseton Wahpeton Oyate Of The Lake Traverse Reservation. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sisseton Wahpeton Oyate Of The Lake Traverse Reservation was last updated on February 22, 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.
# Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic · NPI 1629858519
Primary Care organization in Sisseton, South Dakota. Organization record, active in the CMS NPPES registry since September 29, 2023.
## Identity
- **NPI:** 1629858519 (Entity type: Organization)
- **Enumerated:** September 29, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Legal business name:** Sisseton Wahpeton Oyate Of The Lake Traverse Reservation
- **Organization subpart:** Yes (part of Sisseton Wahpeton Oyate Of The Lake Traverse Reservation)
- **Authorized official:** Elise Johnson, SWO TRIBAL HEALTH DIRECTOR
## Practice location
- **Address:** 114 LAKE TRAVERSE DR STE 102, Sisseton, SD 57262-7046
- **Phone:** (833) 674-3444 · **Fax:** (605) 303-5295
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629858519) · Data from the CMS NPPES public registry.