Individual provider Active NPI

Travis Erickson, DNP

  • Family Nurse Practitioner
  • Watertown, SD
National Provider Identifier
1467927657
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001466 Issued in SD
Practice address
401 9TH Ave NW
Watertown, SD 57201-1548
Phone
(605) 882-7000
Fax
(605) 882-7819
NPI assigned
Oct 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001466 SD Primary
Family Nurse Practitioner 363LF0000X 7183 MN

Addresses

Primary practice location

401 9TH Ave NW
Watertown, SD 57201-1548

Mailing address

PO Box 1210
Watertown, SD 57201-6210
Phone (605) 882-7000

Other identifiers 1

IdentifierTypeStateIssuer
1467927657MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, 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
I20190201001074 SD Practitioner - Nurse Practitioner 9133466923 Reassigns benefits to 5 organizations
I20200218002116 MN Practitioner - Nurse Practitioner 9133466923 Reassigns benefits to 4 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
Prairie Lakes Health Care System Inc 111 clinicians

Practice addresses (Care Compare)

401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000

Hospital & facility affiliations

  • Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
  • Huron Regional Medical Center Hospital, Huron, SD, CCN 431335
  • Murray County Memorial Hospital Hospital, Slayton, MN, CCN 241319

Merit-based Incentive Payment System (MIPS)

Final score
61.99 of 100Reported as group
Quality
31.99
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.59 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
85.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7183MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Lakes Health Care System Inc CurrentSince Sep 20, 2022 Accepting new patients
Huron Regional Medical Center, Inc CurrentSince Aug 14, 2022 Accepting new patients
Avera Tyler Family CurrentSince Feb 1, 2020 Accepting new patients
Avera Marshall Current Accepting new patients
Dunes Anesthesia PC CurrentSince Jan 14, 2019 Accepting new patients
Avera Tyler CurrentSince Feb 1, 2020 Accepting new patients
Avera Tyler Current Accepting new patients
County of Murray CurrentSince Mar 1, 2026 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Dunes Anesthesia PC CurrentSince Jan 14, 2019 Accepting new patients
Huron Regional Medical Center Inc CurrentSince Aug 14, 2022 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Sep 20, 2022 Accepting new patients
County of Murray CurrentSince Mar 1, 2026 Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

922 22nd Ave S
Brookings, SD 57006
Phone (605) 697-1900

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

101 Tower Rd
Ste 103
North Sioux City, SD 57049
Phone (605) 232-5792

600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

409 Summit St
Ste 3300
Yankton, SD 57078
Phone (605) 655-1240

Interoperability endpoints

  • Direct secure messaging: travis.erickson@avera.sdhealthlink.net

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 2

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1467927657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016210",
            "telephone_number": "605-882-7000",
            "fax_number": "605-882-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 9TH AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011548",
            "telephone_number": "605-882-7000",
            "fax_number": "605-882-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "TRAVIS",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001466",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467927657",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.