Prairie Band Potawatomi Nation
NPI 1245266410 · Federally Qualified Health Center (FQHC) · Mayetta, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prairie Band Potawatomi Nation is a Federally Qualified Health Center (FQHC) organization in Mayetta, KS (NPI 1245266410).
Provider details
- NPI number
- 1245266410
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Lewis, Business Office Manager(785) 966-8282
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Prairie Band Potawatomi Health Center
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2022-07-21
- Certified
- 2022-06-01
Frequently asked questions
- What is Prairie Band Potawatomi Nation's NPI number?
- Prairie Band Potawatomi Nation's National Provider Identifier (NPI) is 1245266410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Band Potawatomi Nation?
- Prairie Band Potawatomi Nation is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Prairie Band Potawatomi Nation located?
- Prairie Band Potawatomi Nation's practice location on file with NPPES is 11400 158th Rd, Mayetta, KS 66509-0249.
- What is Prairie Band Potawatomi Nation's phone number?
- The practice phone number listed in the NPPES registry for Prairie Band Potawatomi Nation is (785) 966-8200.
- Does Prairie Band Potawatomi Nation accept Medicare?
- Prairie Band Potawatomi Nation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prairie Band Potawatomi Nation?
- The authorized official listed on Prairie Band Potawatomi Nation's NPPES record is Tiffany Lewis, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Band Potawatomi Nation's NPI active?
- Yes — Prairie Band Potawatomi Nation's NPI (1245266410) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.