Active NPI
Travis Erickson, DNP
- Family Nurse Practitioner
- Watertown, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP001466
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467927657 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000
Hospital & facility affiliations
- Prairie Lakes Healthcare System, Inc
- Huron Regional Medical Center
- Murray County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.99 of 100
- Quality
- 31.99
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7183 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| Huron Regional Medical Center, Inc | Current | Accepting new patients | |
| Avera Tyler | Family | Current | Accepting new patients |
| Avera Marshall | Current | Accepting new patients | |
| Dunes Anesthesia PC | Current | Accepting new patients | |
| Avera Tyler | Current | Accepting new patients | |
| Avera Tyler | Current | Accepting new patients | |
| County of Murray | Current | Accepting new patients | |
| Huron Laboratory SVC PC | Current | Accepting new patients | |
| Dunes Anesthesia PC | Current | Accepting new patients | |
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| County of Murray | Current | 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
- 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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Watertown, SD
- NPI 1124056742
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sisseton, SD
- NPI 1174569669
-
- Home Health Agency
- Watertown, SD
- NPI 1205851458
-
- Community Based Hospice Care Agency
- Watertown, SD
- NPI 1467480640
-
- Rural Acute Care Hospital
- Watertown, SD
- NPI 1659316214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.