PRAIRIE RIDGE HEALTH, INC.
NPI 1093137416
Orthopaedic Surgery in Beaver Dam, WI
About Prairie Ridge Health, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAIRIE RIDGE HEALTH, INC. (NPI 1093137416), doing business as Columbus Community Hospital, Inc., is a healthcare organization registered as an orthopaedic surgery in Beaver Dam, Wisconsin and active in the NPI registry since January 2014. The organization holds 2 active CLIA laboratory certificates and lists John Russell, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prairie Ridge Health, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
115Medicare enrollment records show 115 clinicians reassign Medicare billing to Prairie Ridge Health, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 21
Nearest to this location (20)
See all 115Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 52D0039725
Prairie Ridge Health, Inc · Columbus, WICertificate for Provider-Performed Microscopy Procedures (PPMP) 52D2280173
Prairie Ridge Health Inc · Columbus, WIFrequently 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 Prairie Ridge Health, Inc.'s NPI number?
The NPI number for Prairie Ridge Health, Inc. is 1093137416. It was assigned to this organization in the NPPES registry on January 21, 2014. The provider was formerly known as Columbus Community Hospital, Inc..
Where is Prairie Ridge Health, Inc. located?
Prairie Ridge Health, Inc. is located at 134 Corporate Dr, Beaver Dam, WI 53916. The listed phone number is (920) 356-1000.
What is Prairie Ridge Health, Inc.'s specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Prairie Ridge Health, Inc. enrolled in Medicare?
Yes. Prairie Ridge Health, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prairie Ridge Health, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 21 Medicare specialties reassign their Medicare billing to Prairie Ridge Health, Inc.. 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. The largest specialties are Physical Therapist in Private Practice (24), Certified Registered Nurse Anesthetist (CRNA) (15) and General Surgery (11). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prairie Ridge Health, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Prairie Ridge Health, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and Security Health Plan list Prairie Ridge Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Prairie Ridge Health, Inc. was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Prairie Ridge Health, Inc. · NPI 1093137416
Orthopaedic Surgery organization in Beaver Dam, Wisconsin. Organization record, active in the CMS NPPES registry since January 21, 2014.
## Identity
- **NPI:** 1093137416 (Entity type: Organization)
- **Enumerated:** January 21, 2014
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Also known as:** Columbus Community Hospital, Inc. (Former Legal Business Name)
- **Organization subpart:** Yes (part of Prairie Ridge Health, Inc.)
- **Authorized official:** John Russell, PRESIDENT & CEO
## Practice location
- **Address:** 134 CORPORATE DR, Beaver Dam, WI 53916-3116
- **Phone:** (920) 356-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 115 clinicians in 21 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (24), Certified Registered Nurse Anesthetist (CRNA) (15), General Surgery (11); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1093137416/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093137416) · Data from the CMS NPPES public registry.