PRATT COMMUNITY HEALTH CLINIC, LLC
NPI 1154035608
Nurse Practitioner - Family in Pratt, KS

Active since January 10, 2023CLIA 17D2276748 · Waiver
206 S MAIN ST, PRATT, KS 67124(620) 388-7741 Get Directions Write a Review

NPPES record last updated: October 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 28, 2023, Apr 10, 2023, Jan 16, 2023 and 1 more (4 updates tracked since 2023).

About Pratt Community Health Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRATT COMMUNITY HEALTH CLINIC, LLC (NPI 1154035608) is a healthcare organization registered as a family in Pratt, Kansas and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Hayley Noel Zink, Aprn, as its authorized official.

NPPES Registry Identity

NPI1154035608
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRATT COMMUNITY HEALTH CLINIC, LLC
Location Address206 S MAIN STPratt, KS 67124-2713
Mailing Address206 S Main StPratt, KS 67124-2713 · (620) 388-7731 · Fax (860) 374-2202
Organization SubpartNo
Authorized OfficialHayley Noel ZinkAprn · (620) 388-7741
Enumeration DateJanuary 10, 2023
Last NPPES UpdateOctober 28, 20234 updates tracked since enumeration
NPPES CertifiedOctober 28, 2023
✔ NPI 1154035608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
206 S MAIN ST, Pratt, KS 67124

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)

Pratt Community Health Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pratt Community Health Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1962933648
206 S MAIN ST
Pratt, KS 67124
(620) 388-0462
✔ PECOS✔ Accepts MedicareSame address

Source: 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

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 Waiver 17D2276748

Pratt Community Health Clinic, LLC · Pratt, KS
Active · expires Feb 13, 2027
CLIA Number17D2276748
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorHayley N. Zink
Laboratory Phone(620) 388-7741
Laboratory LocationPratt Community Health Clinic, LLC206 S Main St, Pratt, KS 67124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Pratt Community Health Clinic, LLC's NPI number?

The NPI number for Pratt Community Health Clinic, LLC is 1154035608. It was assigned to this organization in the NPPES registry on January 10, 2023.

Where is Pratt Community Health Clinic, LLC located?

Pratt Community Health Clinic, LLC is located at 206 S Main St, Pratt, KS 67124. The listed phone number is (620) 388-7741.

What is Pratt Community Health Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pratt Community Health Clinic, LLC enrolled in Medicare?

Yes. Pratt Community Health Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pratt Community Health Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pratt Community Health Clinic, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pratt Community Health Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2276748) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pratt Community Health Clinic, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Pratt Community Health Clinic, LLC 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 Pratt Community Health Clinic, LLC was last updated on October 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.