PRAIRIE RIDGE HEALTH, INC.
NPI 1477005544
Clinic/Center - Primary Care in Marshall, 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 1477005544), doing business as Columbus Community Hospital, Inc., is a healthcare organization registered as a primary care in Marshall, Wisconsin and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists John Russell, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 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. 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
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 52D2123598
Prairie Ridge Health, Inc Dba Prairie Ridge Health Clinic · Marshall, 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 1477005544. It was assigned to this organization in the NPPES registry on October 25, 2016. The provider is doing business as Prairie Ridge Health Clinic. The provider was formerly known as Columbus Community Hospital, Inc..
Where is Prairie Ridge Health, Inc. located?
Prairie Ridge Health, Inc. is located at 301 W Main St, Marshall, WI 53559. The listed phone number is (920) 623-2200.
What is Prairie Ridge Health, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prairie Ridge Health, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2123598) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Prairie Ridge Health, Inc. · NPI 1477005544
Primary Care organization in Marshall, Wisconsin. Organization record, active in the CMS NPPES registry since October 25, 2016.
## Identity
- **NPI:** 1477005544 (Entity type: Organization)
- **Enumerated:** October 25, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Prairie Ridge Health Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Columbus Community Hospital, Inc)
- **Authorized official:** John Russell, PRESIDENT & CEO
## Practice location
- **Address:** 301 W MAIN ST, Marshall, WI 53559-9799
- **Phone:** (920) 623-2200 · **Fax:** (920) 623-1441
## 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); [full list](https://npiprofile.com/npi/1477005544/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2022
- **Other identifiers:** Other 52D2123598 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477005544) · Data from the CMS NPPES public registry.