PRAIRIE RIDGE HEALTH INC.
NPI 1699534545
Family Medicine in Sun Prairie, 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 1699534545), doing business as Prairie Ridge Health Clinic-sun Prairie, is a healthcare organization registered as a family medicine in Sun Prairie, Wisconsin and active in the NPI registry since March 2024. The organization lists Melissa Mangan, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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. Of these, 5 practice within 10 miles. 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.
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 1699534545. It was assigned to this organization in the NPPES registry on March 14, 2024. The provider is doing business as Prairie Ridge Health Clinic-Sun Prairie.
Where is Prairie Ridge Health Inc. located?
Prairie Ridge Health Inc. is located at 155 South Mallard Drive, Sun Prairie, WI 53590. The listed phone number is (920) 623-2200.
What is Prairie Ridge Health Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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). Of these, 5 practice 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 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 March 14, 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.
# Prairie Ridge Health Inc. · NPI 1699534545
Family Medicine organization in Sun Prairie, Wisconsin. Organization record, active in the CMS NPPES registry since March 14, 2024.
## Identity
- **NPI:** 1699534545 (Entity type: Organization)
- **Enumerated:** March 14, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Prairie Ridge Health Clinic-Sun Prairie (Doing Business As)
- **Organization subpart:** Yes (part of Prairie Ridge Health, Inc.)
- **Authorized official:** Melissa Mangan, CFO
## Practice location
- **Address:** 155 SOUTH MALLARD DRIVE, Sun Prairie, WI 53590
- **Phone:** (920) 623-2200
## 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); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1699534545/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699534545) · Data from the CMS NPPES public registry.