PRAIRIE LAKES HEALTH CARE SYSTEM INC
NPI 1720166002
General Acute Care Hospital - Rural in Watertown, SD

Active since November 02, 2006
401 9TH AVE NW, WATERTOWN, SD 57201(605) 882-7000(605) 882-7636 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 20, 2026, Nov 20, 2025, Jul 31, 2024 (3 updates tracked since 2024).

About Prairie Lakes Health Care System Inc NPPES

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

PRAIRIE LAKES HEALTH CARE SYSTEM INC (NPI 1720166002), doing business as Sanford Watertown Specialty Clinic, is a healthcare organization registered as a rural in Watertown, South Dakota and active in the NPI registry since November 2006. The organization lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1720166002
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NamePRAIRIE LAKES HEALTH CARE SYSTEM INC
Location Address401 9TH AVE NWWatertown, SD 57201-1548
Mailing Address401 9th Ave NwWatertown, SD 57201-1548 · (605) 882-7000 · Fax (605) 882-7636
Fax(605) 882-7636
Organization SubpartNo
Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1720166002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
401 9TH AVE NW, Watertown, SD 57201

Other Names 1

Doing Business AsSanford Watertown Specialty Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie Lakes Health Care System Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth DakotaEnrollment IDO20040202000187Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

110

Medicare enrollment records show 110 clinicians reassign Medicare billing to Prairie Lakes Health Care System Inc, which bills Medicare for the services they deliver. Of these, 43 practice at this address and 60 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Certified Registered Nurse Anesthetist (CRNA)31
Nurse Practitioner15
Emergency Medicine11
Family Practice10
Orthopedic Surgery7
Internal Medicine6
General Surgery3
Interventional Cardiology3
16 other specialties24

Nearest to this location (20)

See all 110
Hematology/Oncology
NPI 1568415628
401 9TH AVE NW
Watertown, SD 57201
(605) 882-6800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1841671872
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1619906120
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1104025113
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104246289
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1669850269
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306485172
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467927657
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1043263023
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7810
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1992097703
401 9TH AVE. NW PRAIRIE LAKES HOSPITAL
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1467517011
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ Accepts MedicareSame address
Pathology
NPI 1508059650
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396919718
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1952514994
401 9TH AVE NW
Watertown, SD 57201
(605) 882-2630
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1174685515
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1295179299
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1942437140
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1467715797
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1245550425
401 9TH AVE NW
Watertown, SD 57201
(646) 962-3376
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1679599633
401 9TH AVE NW
Watertown, SD 57201
(605) 882-7000
✔ PECOS✔ Accepts MedicareSame address
See all 110 clinicians

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 Lakes Health Care System Inc's NPI number?

The NPI number for Prairie Lakes Health Care System Inc is 1720166002. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Sanford Watertown Specialty Clinic.

Where is Prairie Lakes Health Care System Inc located?

Prairie Lakes Health Care System Inc is located at 401 9th Ave NW, Watertown, SD 57201. The listed phone number is (605) 882-7000.

What is Prairie Lakes Health Care System Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Is Prairie Lakes Health Care System Inc enrolled in Medicare?

Yes. Prairie Lakes Health Care System Inc is registered in the Medicare PECOS enrollment system.

When is Prairie Lakes Health Care System Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Dakota, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Prairie Lakes Health Care System Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 110 clinicians in 24 Medicare specialties reassign their Medicare billing to Prairie Lakes Health Care System 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 Certified Registered Nurse Anesthetist (CRNA) (31), Nurse Practitioner (15) and Emergency Medicine (11). Of these, 43 practice at this address and 60 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prairie Lakes Health Care System Inc accept?

Health plans from Avera Health Plans and Sanford Health Plan list Prairie Lakes Health Care System 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 Lakes Health Care System Inc was last updated on July 20, 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.