Sisseton Wahpeton Oyate of the Lake Traverse Reservation
NPI 1629858519 · Primary Care Nurse Practitioner · Sisseton, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sisseton Wahpeton Oyate of the Lake Traverse Reservation is a Primary Care Nurse Practitioner organization in Sisseton, SD (NPI 1629858519).
Provider details
- NPI number
- 1629858519
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Sisseton Wahpeton Oyate of the Lake Traverse Reservation
- Organization subpart
- Yes
- Authorized official
- Elise Johnson, Swo Tribal Health Director(605) 698-8315
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic
Registry dates
- Enumerated
- 2023-09-29
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Frequently asked questions
- What is Sisseton Wahpeton Oyate of the Lake Traverse Reservation's NPI number?
- Sisseton Wahpeton Oyate of the Lake Traverse Reservation's National Provider Identifier (NPI) is 1629858519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sisseton Wahpeton Oyate of the Lake Traverse Reservation?
- Sisseton Wahpeton Oyate of the Lake Traverse Reservation is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sisseton Wahpeton Oyate of the Lake Traverse Reservation located?
- Sisseton Wahpeton Oyate of the Lake Traverse Reservation's practice location on file with NPPES is 114 Lake Traverse Dr Ste 102, Sisseton, SD 57262-7046.
- What is Sisseton Wahpeton Oyate of the Lake Traverse Reservation's phone number?
- The practice phone number listed in the NPPES registry for Sisseton Wahpeton Oyate of the Lake Traverse Reservation is (833) 674-3444.
- Does Sisseton Wahpeton Oyate of the Lake Traverse Reservation accept Medicare?
- Sisseton Wahpeton Oyate of the Lake Traverse Reservation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sisseton Wahpeton Oyate of the Lake Traverse Reservation?
- The authorized official listed on Sisseton Wahpeton Oyate of the Lake Traverse Reservation's NPPES record is Elise Johnson, Swo Tribal Health Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sisseton Wahpeton Oyate of the Lake Traverse Reservation's NPI active?
- Yes — Sisseton Wahpeton Oyate of the Lake Traverse Reservation's NPI (1629858519) is active in the NPPES registry as of the last update on 2024-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.