PRAIRIE CLINIC LLC
NPI 1740992676
Clinic/Center - Primary Care in Springfield, CO
About Prairie Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAIRIE CLINIC LLC (NPI 1740992676) is a healthcare organization registered as a primary care in Springfield, Colorado and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Tennille Ann Rau, Llc Member/medical Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Prairie Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 06D2291005
Prairie Clinic LLC · Springfield, COFrequently 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 Clinic LLC's NPI number?
The NPI number for Prairie Clinic LLC is 1740992676. It was assigned to this organization in the NPPES registry on December 22, 2022.
Where is Prairie Clinic LLC located?
Prairie Clinic LLC is located at 172 West 1st, Springfield, CO 81073. The listed phone number is (719) 691-4488.
What is Prairie Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Prairie Clinic LLC enrolled in Medicare?
Yes. Prairie Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prairie Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Prairie Clinic 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prairie Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2291005) is associated with this NPI, valid through October 3, 2027. 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 Clinic LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Prairie Clinic Llc · NPI 1740992676
Primary Care organization in Springfield, Colorado. Organization record, active in the CMS NPPES registry since December 22, 2022.
## Identity
- **NPI:** 1740992676 (Entity type: Organization)
- **Enumerated:** December 22, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tennille Rau, LLC MEMBER/MEDICAL PROVIDER
## Practice location
- **Address:** 172 WEST 1ST, Springfield, CO 81073-8107
- **Phone:** (719) 691-4488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2025
- **Other identifiers:** Other 1114384138 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740992676) · Data from the CMS NPPES public registry.