PRAIRIE LAKES HEALTH CARE SYSTEM INC
NPI 1396525143
Family Medicine in Watertown, SD

Q: What is Prairie Lakes Health Care System Inc's NPI number?

The NPI number for Prairie Lakes Health Care System Inc is 1396525143. It was assigned to this organization in the NPPES registry on September 29, 2023. The provider is doing business as Prairie Lakes Brown Clinic, Sanford Health Hwy 81 clinic and Sanford Health Northridge Clinic.

Q: What is Prairie Lakes Health Care System Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 29, 2023

506 1ST AVE SE, WATERTOWN, SD 57201(605) 886-8482(605) 884-4332 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 20, 2026, Nov 20, 2025, Jul 31, 2024 (3 updates tracked since 2024).

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About Prairie Lakes Health Care System Inc NPPES

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

PRAIRIE LAKES HEALTH CARE SYSTEM INC (NPI 1396525143), doing business as Prairie Lakes Brown Clinic, is a healthcare organization registered as a family medicine in Watertown, South Dakota and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Watertown and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1396525143

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePRAIRIE LAKES HEALTH CARE SYSTEM INC

Location Address506 1ST AVE SEWatertown, SD 57201-4402

Mailing AddressPo Box 1210Watertown, SD 57201-6210 · (605) 882-7000 · Fax (605) 882-7607

Phone(605) 886-8482

Fax(605) 884-4332

Organization SubpartNo

Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380

Enumeration DateSeptember 29, 2023

Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1396525143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

506 1ST AVE SE, Watertown, SD 57201

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Other Names 3

Doing Business AsPrairie Lakes Brown Clinic

Doing Business AsSanford Health Hwy 81 Clinic

Doing Business AsSanford Health Northridge Clinic

Secondary Practice Location 1

Location 1511 14th Ave NEWatertown, SD 57201-6811 · Phone (605) 886-8482 · Fax (605) 884-4332

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie Lakes Health Care System Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateSouth DakotaEnrollment IDO20040202000187Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

109

Medicare enrollment records show 109 clinicians reassign Medicare billing to Prairie Lakes Health Care System Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 60 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Certified Registered Nurse Anesthetist (CRNA)31

Nurse Practitioner15

Emergency Medicine11

Family Practice10

Orthopedic Surgery7

Internal Medicine6

General Surgery3

Interventional Cardiology3

16 other specialties23

Nearest to this location (20)

See all 109

Adrienne Bak, NP

Nurse Practitioner

NPI 1316739550