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PRAIRIE CREEK FAMILY MEDICINE LLC
NPI 1710807169
Family Medicine in Stromsburg, NE

Active since July 16, 2026CLIA 28D0914956 · Waiver
1356 126TH RD, STROMSBURG, NE 68666(402) 764-2491(402) 764-2491 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prairie Creek Family Medicine Llc NPPES

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

PRAIRIE CREEK FAMILY MEDICINE LLC (NPI 1710807169) is a healthcare organization registered as a family medicine in Stromsburg, Nebraska and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through May 14, 2028, maintains 2 additional practice locations, and lists Aaron Phillips, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1710807169
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRAIRIE CREEK FAMILY MEDICINE LLC
Location Address1356 126TH RDStromsburg, NE 68666-6240
Mailing Address1356 126th RdStromsburg, NE 68666-6240 · (402) 764-2491 · Fax (402) 764-2491
Phone(402) 764-2491
Fax(402) 764-2491
Organization SubpartNo
Authorized OfficialAaron PhillipsClinic Manager · (402) 764-2491
Enumeration DateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1710807169 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.
1356 126TH RD, Stromsburg, NE 68666
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Secondary Practice Locations 2

Location 1531 Beebe StOsceola, NE 68651-5537 · Phone (402) 747-8851 · Fax (402) 764-4033
Location 2150 E Park StShelby, NE 68662-5660 · Phone (402) 527-1287 · Fax (402) 764-4033

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

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 Creek Family Medicine 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 Creek Family Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Jameson, MD
Family Practice
NPI 1083616502
1356 - 126TH ROAD
Stromsburg, NE 68666
(402) 764-2491
✔ PECOS✔ Accepts Medicare5.1 mi

Source: 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 28D0914956

Prairie Creek Family Medicine - Osceola · Osceola, NE
Active · expires May 14, 2028
CLIA Number28D0914956
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorDr. David Jameson
Laboratory Phone(402) 747-8851
Laboratory LocationPrairie Creek Family Medicine - Osceola531 Beebe Street, Osceola, NE 68651
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Creek Family Medicine LLC's NPI number?

The NPI number for Prairie Creek Family Medicine LLC is 1710807169. It was assigned to this organization in the NPPES registry on July 16, 2026.

Where is Prairie Creek Family Medicine LLC located?

Prairie Creek Family Medicine LLC is located at 1356 126th Rd, Stromsburg, NE 68666. The listed phone number is (402) 764-2491.

What is Prairie Creek Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prairie Creek Family Medicine LLC enrolled in Medicare?

Yes. Prairie Creek Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Creek Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Prairie Creek Family Medicine 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.

Does Prairie Creek Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0914956) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prairie Creek Family Medicine LLC was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.