PRAIRIE RIDGE HEALTH, INC.
NPI 1154403657
General Acute Care Hospital - Critical Access in Columbus, WI

Active since October 20, 2006
1515 PARK AVE, COLUMBUS, WI 53925(920) 623-2200(920) 623-1441 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prairie Ridge Health, Inc. NPPES

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

PRAIRIE RIDGE HEALTH, INC. (NPI 1154403657) is a healthcare organization registered as a critical access in Columbus, Wisconsin and active in the NPI registry since October 2006. The organization lists Melissa Mangan, Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1154403657
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NamePRAIRIE RIDGE HEALTH, INC.
Location Address1515 PARK AVEColumbus, WI 53925-2402
Mailing Address1515 Park AveColumbus, WI 53925-2402 · (920) 623-2200 · Fax (920) 623-1441
Fax(920) 623-1441
Organization SubpartNo
Authorized OfficialMelissa ManganVice President/cfo · (920) 623-8453
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1154403657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
License✔ Licensed in WI · 278-800
1515 PARK AVE, Columbus, WI 53925

Other Identifiers 8

Medicaid43414600WV
OtherWI0104WI · John Deere Er/uc
OtherWI0100WI · John Deere Ekg, Rt
Medicaid11012810WI
Medicaid36200200WI
Medicaid41172200WI
Medicaid32763600WI
OtherWI0105WI · John Deere Crna

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

185

Medicare enrollment records show 185 clinicians reassign Medicare billing to Prairie Ridge Health, Inc., which bills Medicare for the services they deliver. Of these, 42 practice at this address and 49 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Emergency Medicine67
Physical Therapist in Private Practice24
Certified Registered Nurse Anesthetist (CRNA)15
General Surgery15
Family Practice10
Nurse Practitioner9
Internal Medicine7
Obstetrics/Gynecology5
13 other specialties33

Nearest to this location (20)

See all 185
Psychiatry
NPI 1548559305
1515 PARK AVE
Columbus, WI 53925
(920) 623-1200
✔ PECOSSame address
Family Practice
NPI 1003307539
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1508871096
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1255283511
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ Accepts MedicareSame address
General Surgery
NPI 1750941811
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1427216738
1515 PARK AVE
Columbus, WI 53925
(920) 623-1430
Same address
Clinical Social Worker
NPI 1851725626
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1063363307
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1467933580
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1487603379
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1689920662
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1124800784
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ Accepts MedicareSame address
Psychiatry
NPI 1861134009
1515 PARK AVE
Columbus, WI 53925
(920) 623-1200
✔ PECOSSame address
Internal Medicine
NPI 1659338150
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1902034812
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1851853626
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1033349840
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1053739714
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720734601
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427727759
1515 PARK AVE
Columbus, WI 53925
(920) 623-2200
✔ PECOS✔ Accepts MedicareSame address
See all 185 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prairie Ridge Health, Inc.'s NPI number?

The NPI number for Prairie Ridge Health, Inc. is 1154403657. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Prairie Ridge Health, Inc. located?

Prairie Ridge Health, Inc. is located at 1515 Park Ave, Columbus, WI 53925. The listed phone number is (920) 623-2200.

What is Prairie Ridge Health, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

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), 185 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 Emergency Medicine (67), Physical Therapist in Private Practice (24) and Certified Registered Nurse Anesthetist (CRNA) (15). Of these, 42 practice at this address and 49 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prairie Ridge Health, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz 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 July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.