PRAGUE FAMILY CLINIC
NPI 1881923290
Clinic/Center - Rural Health in Prague, OK
About Prague Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAGUE FAMILY CLINIC (NPI 1881923290) is a healthcare organization registered as a rural health in Prague, Oklahoma and active in the NPI registry since December 2009. The organization lists Dianne M Dyer, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Prague Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Prague Family Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Prague Healthcare Authority's NPI number?
The NPI number for Prague Healthcare Authority is 1881923290. It was assigned to this organization in the NPPES registry on December 14, 2009. The provider is doing business as Prague Family Clinic.
Where is Prague Healthcare Authority located?
Prague Healthcare Authority is located at 1322 Klabzuba Avenue, Prague, OK 74864. The listed phone number is (405) 567-4922.
What is Prague Healthcare Authority's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Prague Healthcare Authority enrolled in Medicare?
Yes. Prague Healthcare Authority is registered in the Medicare PECOS enrollment system.
When is Prague Healthcare Authority'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 (Oklahoma, Clinic/Group Practice) is due for revalidation by January 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 Prague Healthcare Authority?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prague Healthcare Authority, in Family Practice and Nurse Practitioner. 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.
What insurance does Prague Healthcare Authority accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Prague Healthcare Authority 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 Prague Healthcare Authority was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Prague Family Clinic · NPI 1881923290
Rural Health organization in Prague, Oklahoma. Organization record, active in the CMS NPPES registry since December 14, 2009.
## Identity
- **NPI:** 1881923290 (Entity type: Organization)
- **Enumerated:** December 14, 2009
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Prague Healthcare Authority
- **Organization subpart:** No
- **Authorized official:** Dianne Dyer, REVENUE CYCLE MANAGER
## Practice location
- **Address:** 1322 KLABZUBA AVENUE, Prague, OK 74864
- **Phone:** (405) 567-4922 · **Fax:** (405) 567-4290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2021
- **Other identifiers:** Medicaid 200231400C (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1881923290) · Data from the CMS NPPES public registry.