PRAIRIE LIFE CHIROPRACTIC P.C.
NPI 1639414386
Chiropractor in Sioux Center, IA

Active since December 06, 2012
715 S MAIN AVE, SIOUX CENTER, IA 51250(712) 717-5101(712) 717-5102 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prairie Life Chiropractic P.c. NPPES

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

PRAIRIE LIFE CHIROPRACTIC P.C. (NPI 1639414386) is a healthcare organization registered as a chiropractor in Sioux Center, Iowa and active in the NPI registry since December 2012. The organization lists Derek Lee Kosters, President, as its authorized official.

NPPES Registry Identity

NPI1639414386
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRAIRIE LIFE CHIROPRACTIC P.C.
Location Address715 S MAIN AVESioux Center, IA 51250-1349
Mailing Address715 S Main AveSioux Center, IA 51250-1349 · (712) 717-5101 · Fax (712) 717-5102
Fax(712) 717-5102
Organization SubpartNo
Authorized OfficialDerek Lee KostersPresident · (712) 717-5101
Enumeration DateDecember 6, 2012
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1639414386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 007606
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
715 S MAIN AVE, Sioux Center, IA 51250

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

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 Life Chiropractic P.c. 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 Prairie Life Chiropractic P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1205171915
715 S MAIN AVE
Sioux Center, IA 51250
(712) 717-5101
✔ Accepts MedicareSame address

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 Life Chiropractic P.C.'s NPI number?

The NPI number for Prairie Life Chiropractic P.C. is 1639414386. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Prairie Life Chiropractic P.C. located?

Prairie Life Chiropractic P.C. is located at 715 S Main Ave, Sioux Center, IA 51250. The listed phone number is (712) 717-5101.

What is Prairie Life Chiropractic P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Prairie Life Chiropractic P.C. enrolled in Medicare?

Yes. Prairie Life Chiropractic P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Life Chiropractic P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Prairie Life Chiropractic P.C.. 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.

What insurance does Prairie Life Chiropractic P.C. accept?

Health plans from Avera Health Plans and Sanford Health Plan list Prairie Life Chiropractic P.C. 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 Life Chiropractic P.C. was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.