Individual provider Active NPI

Siaka Sanneh, DNP, APRN, CNP

  • Primary Care Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1073009981
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
8937 Issued in MN
Practice address
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone
(715) 838-5222
NPI assigned
Jul 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R46410 NE
Nurse Practitioner 363L00000X 8937 MN
Family Nurse Practitioner 363LF0000X R46410 ND
Primary Care Nurse Practitioner 363LP2300X 11614-33 WI
Primary Care Nurse Practitioner 363LP2300X 8937 MN Primary

Addresses

Primary practice location

1400 Bellinger St
Eau Claire, WI 54703-5222

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Other practice location 2

1007 4th Ave S
Wishek, ND 58495-7527
Phone (701) 452-2326

Other practice location 3

200 1st St SW
Rochester, MN 55905-7527
Phone (507) 284-2511

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address siakas@wishekhospital.com Wishek Hospital-Clinic Association
Direct Messaging Address ssanneh1691612@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180911002268 ND Practitioner - Nurse Practitioner 2769732825 Reassigns benefits to 3 organizations
I20220321002144 MN Practitioner - Nurse Practitioner 2769732825 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

510 8TH Ave NE
Hazen Memorial Hospital
Hazen, ND 58545-4637
Phone (701) 748-2225

PO Box
Wishek, ND 58495

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R46410NEMDRegistered Nurse
8937MNMDPrimary Care Nurse Practitioner
11614-33WIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Apr 6, 2022 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Apr 6, 2022 Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Apr 6, 2022 Accepting new patients
Olmsted Medical Center CurrentSince Jan 3, 2024 Accepting new patients
Mayo Clinic CurrentSince Jan 18, 2022 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Wishek Hospital-Clinic Association CurrentSince Jan 8, 2026 Accepting new patients
Mayo Clinic Health System-St James CurrentSince Apr 6, 2022 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Apr 6, 2022 Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Apr 6, 2022 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Apr 6, 2022 Accepting new patients
Mayo Clinic CurrentSince Jan 18, 2022 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Ladd Memorial Hospital Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients

Locations (25 of 26)

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

846 High Point Dr NE
Byron, MN 55920
Phone (507) 775-2128

1705 N Highway 20
Cannon Falls, MN 55009
Phone (507) 263-4900

207 Twiford St SW
Chatfield, MN 55923
Phone (507) 867-4901

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

507 W Doughty St
Lake City, MN 55041
Phone (651) 345-2350

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

111 County Road 11 NW
Pine Island, MN 55963
Phone (507) 356-2476

20 2nd Ave NE
Plainview, MN 55964
Phone (507) 534-3885

405 Kansas St NW
Preston, MN 55965
Phone (507) 765-5324

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

5067 55th St NW
Rochester, MN 55901
Phone (507) 292-7070

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

132 17th Ave NW
Ste 132
Rochester, MN 55901
Phone (507) 292-7411

403 W 4th St
Saint Charles, MN 55972
Phone (507) 534-3885

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

802 Memorial Dr
Spring Valley, MN 55975
Phone (507) 346-7373

208 Ctr Town Plz N
Stewartville, MN 55976
Phone (507) 533-4727

1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156

Interoperability endpoints

  • Direct secure messaging: ssanneh25470@direct.olmmed.org

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1073009981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511",
            "fax_number": "701-452-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BELLINGER ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035222",
            "telephone_number": "715-838-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 4th Ave S",
            "address_purpose": "LOCATION",
            "city": "Wishek",
            "state": "ND",
            "postal_code": "584957527",
            "country_code": "US",
            "telephone_number": "701-452-2326",
            "fax_number": "701-452-4276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559057527",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANNEH",
        "first_name": "SIAKA",
        "name_prefix": "Mr.",
        "credential": "DNP, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "R46410",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "8937",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R46410",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "11614-33",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "8937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "siakas@wishekhospital.com",
            "affiliation": "Y",
            "affiliationName": "Wishek Hospital-Clinic Association",
            "address_1": "1007 4th Ave S",
            "city": "Wishek",
            "state": "ND",
            "country_code": "US",
            "postal_code": "584957527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssanneh1691612@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1400 Bellinger St",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547035222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.