Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRAIRIE CLOVER HEALTH LLC
NPI 1700702438
Nurse Practitioner - Primary Care in Abilene, KS

Active since June 26, 2026
108 NW 3RD ST, ABILENE, KS 67410(785) 576-2488 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Sep 24, 2026, Sep 14, 2026 (3 updates tracked since 2026).

About Prairie Clover Health Llc NPPES

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

PRAIRIE CLOVER HEALTH LLC (NPI 1700702438) is a healthcare organization registered as a primary care in Abilene, Kansas and active in the NPI registry since June 2026. The organization lists Timothy Lee Roeser, Owner, as its authorized official.

NPPES Registry Identity

NPI1700702438
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePRAIRIE CLOVER HEALTH LLC
Location Address108 NW 3RD STAbilene, KS 67410-2629
Mailing Address108 Nw 3rd StAbilene, KS 67410-2629 · (785) 576-2488
Organization SubpartNo
Authorized OfficialTimothy Lee RoeserOwner · (785) 576-2488
Enumeration DateJune 26, 2026
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1700702438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
108 NW 3RD ST, Abilene, KS 67410

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 Clover Health Llc 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 Clover Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1366906042
103 NW 3RD ST
Abilene, KS 67410
(785) 576-2488
✔ PECOS✔ 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 Clover Health LLC's NPI number?

The NPI number for Prairie Clover Health LLC is 1700702438. It was assigned to this organization in the NPPES registry on June 26, 2026.

Where is Prairie Clover Health LLC located?

Prairie Clover Health LLC is located at 108 NW 3rd St, Abilene, KS 67410. The listed phone number is (785) 576-2488.

What is Prairie Clover Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Prairie Clover Health LLC enrolled in Medicare?

Yes. Prairie Clover Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Clover Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Prairie Clover Health LLC. 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.

When was this NPI record last updated?

The NPPES record for Prairie Clover Health LLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.