Prairie Roots Wellness, LLC
NPI 1467216275 · Physician Assistant · Mc Cook, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prairie Roots Wellness, LLC is a Physician Assistant organization in Mc Cook, NE (NPI 1467216275).
Provider details
- NPI number
- 1467216275
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Erica Ellicott, Physician Assistant(308) 883-0658
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Frequently asked questions
- What is Prairie Roots Wellness, LLC's NPI number?
- Prairie Roots Wellness, LLC's National Provider Identifier (NPI) is 1467216275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Roots Wellness, LLC?
- Prairie Roots Wellness, LLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prairie Roots Wellness, LLC located?
- Prairie Roots Wellness, LLC's practice location on file with NPPES is 801 W C St, Mc Cook, NE 69001-3591.
- What is Prairie Roots Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prairie Roots Wellness, LLC is (308) 777-2476.
- Does Prairie Roots Wellness, LLC accept Medicare?
- Prairie Roots Wellness, LLC 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 Roots Wellness, LLC?
- The authorized official listed on Prairie Roots Wellness, LLC's NPPES record is Erica Ellicott, Physician Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Roots Wellness, LLC's NPI active?
- Yes — Prairie Roots Wellness, LLC's NPI (1467216275) is active in the NPPES registry as of the last update on 2024-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.