1. Home
  2. Directory
  3. Nebraska
  4. Mc Cook
  5. Physician Assistant
  6. NPI Profile

PRAIRIE ROOTS WELLNESS, LLC
NPI 1467216275
Physician Assistant in Mc Cook, NE

Active since February 12, 2024
801 W C ST, MC COOK, NE 69001(308) 777-2476(308) 223-5752 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prairie Roots Wellness, Llc NPPES

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

PRAIRIE ROOTS WELLNESS, LLC (NPI 1467216275) is a healthcare organization registered as a physician assistant in Mc Cook, Nebraska and active in the NPI registry since February 2024. The organization lists Erica Ellicott, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1467216275
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NamePRAIRIE ROOTS WELLNESS, LLC
Location Address801 W C STMc Cook, NE 69001-3591
Mailing AddressPo Box 565Mc Cook, NE 69001-0565 · (308) 777-2476 · Fax (308) 223-5752
Phone(308) 777-2476
Fax(308) 223-5752
Organization SubpartNo
Authorized OfficialErica EllicottPhysician Assistant · (308) 883-0658
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1467216275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
801 W C ST, Mc Cook, NE 69001
Open in Google Maps ↗

Other Identifiers 3

Medicaid10027548401NE
Other13552224NE · Caqh Id
Other1902299860NE · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WRIGHT ELEVATE HEALTH LLC
Clinic/Center
801 W C ST, SUITE #3
MC COOK, NE 69001
Red Willow County (308) 777-2476
ERICA LEIGH ELLICOTT PA-C
Physician Assistant
801 W C ST
MC COOK, NE 69001
Red Willow County (308) 777-2476
TAYLOR WRIGHT APRN
Nurse Practitioner
801 W C ST, SUITE #3
MC COOK, NE 69001
Red Willow County (308) 777-2476

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 Roots Wellness, LLC's NPI number?

The NPI number for Prairie Roots Wellness, LLC is 1467216275. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Prairie Roots Wellness, LLC located?

Prairie Roots Wellness, LLC is located at 801 W C St, Mc Cook, NE 69001. The listed phone number is (308) 777-2476.

What is Prairie Roots Wellness, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Prairie Roots Wellness, LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Medica list Prairie Roots Wellness, 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 Prairie Roots Wellness, LLC was last updated on February 12, 2024. 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.