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PRAIRIE RIDGE HEALTH INC.
NPI 1699534545
Family Medicine in Sun Prairie, WI

Active since March 14, 2024
155 SOUTH MALLARD DRIVE, SUN PRAIRIE, WI 53590(920) 623-2200 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1699534545
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRAIRIE RIDGE HEALTH INC.
Location Address155 SOUTH MALLARD DRIVESun Prairie, WI 53590
Mailing Address1515 Park AveColumbus, WI 53925-1618
Phone(920) 623-2200
Organization SubpartYesParent: Prairie Ridge Health, Inc.
Authorized OfficialMelissa ManganCfo · (920) 623-1369
Enumeration DateMarch 14, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1699534545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

155 SOUTH MALLARD DRIVE, Sun Prairie, WI 53590
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Other Names 1

Doing Business AsPrairie Ridge Health Clinic-sun Prairie

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 Anthem Blue Cross and Blue Shield.Insurance ›

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.

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 with the weekly NPPES data releases published by CMS.