Prairie View Medical, Prof. LLC
NPI 1508635772 · Primary Care Clinic/Center · Brookings, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prairie View Medical, Prof. LLC is a Primary Care Clinic/Center organization in Brookings, SD (NPI 1508635772).
Provider details
- NPI number
- 1508635772
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Olson, President/Ceo(605) 693-7862
Specialties & taxonomies
Ambulatory Health Care Facilities
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
Other names (DBA / former)
- Doing business as
- Prairie View Medical Clinic
- Doing business as
- Prairie View Medical Clinic
Registry dates
- Enumerated
- 2023-12-28
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Frequently asked questions
- What is Prairie View Medical, Prof. LLC's NPI number?
- Prairie View Medical, Prof. LLC's National Provider Identifier (NPI) is 1508635772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie View Medical, Prof. LLC?
- Prairie View Medical, Prof. LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prairie View Medical, Prof. LLC located?
- Prairie View Medical, Prof. LLC's practice location on file with NPPES is 3405 6th St Ste 5, Brookings, SD 57006-4401.
- What is Prairie View Medical, Prof. LLC's phone number?
- The practice phone number listed in the NPPES registry for Prairie View Medical, Prof. LLC is (605) 695-6712.
- Does Prairie View Medical, Prof. LLC accept Medicare?
- Prairie View Medical, Prof. 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 View Medical, Prof. LLC?
- The authorized official listed on Prairie View Medical, Prof. LLC's NPPES record is Jennifer Olson, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie View Medical, Prof. LLC's NPI active?
- Yes — Prairie View Medical, Prof. LLC's NPI (1508635772) is active in the NPPES registry as of the last update on 2024-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.