PRAIRIE ROOTS WELLNESS, LLC
NPI 1467216275
Physician Assistant in Mc Cook, NE
NPI Status: Active since February 12, 2024
Contact Information
801 W C ST
MC COOK, NE
ZIP 69001
Phone: (308) 777-2476
Fax: (308) 223-5752
- Organization
- Physician Assistant
- Accepts Insurance
About PRAIRIE ROOTS WELLNESS, LLC
This page provides the complete NPI Profile along with additional information for Prairie Roots Wellness, Llc, a primary care provider established in Mc Cook, Nebraska operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1467216275 assigned on February 2024. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Erica Ellicott Pa-c (Physician Assistant)
- NPI
- 1467216275
- Provider Name
- PRAIRIE ROOTS WELLNESS, LLC
- Entity Type
- Organization
- Location Address
- 801 W C ST MC COOK, NE 69001
- Location Phone
- (308) 777-2476
- Location Fax
- (308) 223-5752
- Mailing Address
- PO BOX 565 MC COOK, NE 69001
- Mailing Phone
- (308) 777-2476
- Mailing Fax
- (308) 223-5752
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2024
- Last Update Date
- 02-12-2024
- Code Navigator
A primary care provider (PCP) like Prairie Roots Wellness, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
- Medica with CHI Health Bronze $0 Copay PCP Visits - EPO
- Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam - EPO
- Medica with CHI Health Bronze Premier - EPO
- Medica with CHI Health Bronze Premier + Adult Eye Exam - EPO
- Medica with CHI Health Bronze Share - EPO
- Medica with CHI Health Bronze Share + Adult Eye Exam - EPO
- Medica with CHI Health Expanded Bronze Standard - EPO
- Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam - EPO
- Medica with CHI Health Gold $0 Copay PCP Visits - EPO
- Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10027548401 | MEDICAID (05) | NE | |
| 13552224 | OTHER (01) | NE | CAQH ID |
| 1902299860 | OTHER (01) | NE | INDIVIDUAL NPI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 2 | 1 | 6 | 2 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 4 | 1 | 12 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 4 + 1 + 1 + 2 + 2 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1467216275 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790565380 | WRIGHT ELEVATE HEALTH LLC Organization | Clinic/Center | 801 W C ST SUITE #3 MC COOK, NE 69001 (308) 777-2476 |
| 1912690850 | TAYLOR WRIGHT APRN Individual | Nurse Practitioner | 801 W C ST SUITE #3 MC COOK, NE 69001 (308) 777-2476 |
| 1902299860 | ERICA LEIGH ELLICOTT PA-C Individual | Physician Assistant | 801 W C ST MC COOK, NE 69001 (308) 777-2476 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467216275, enumerated in the NPI registry as an "organization" on February 12, 2024
The provider is located at 801 W C St Mc Cook, Ne 69001 and the phone number is (308) 777-2476
This medical organization specializes in Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 12, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.