PRAIRIE STAR FAMILY PRACTICE, P.A. – NPI #1003929001
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PRAIRIE STAR FAMILY PRACTICE, P.A. is a provider located in PLAINVILLE, KS. NPPES has assigned the NPI number 1003929001 to PRAIRIE STAR FAMILY PRACTICE, P.A. on August 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Jun 15, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRAIRIE STAR FAMILY PRACTICE, P.A. below.

NPI Profile for
PRAIRIE STAR FAMILY PRACTICE, P.A.

NPI Number
1003929001
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRAIRIE STAR FAMILY PRACTICE, P.A.
Primary location
1210 N. WASHINGTON, CLINIC B
PLAINVILLE, KS 67663-1632
Phone: (785) 434-2622 Fax: (785) 434-2577
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER BRULL
OWNER/PRESIDENT
Phone: (785) 434-2622
Updated
Identifiers

Identifiers for PRAIRIE STAR FAMILY PRACTICE, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC/BS GROUPKS110760
OTHERBC/BS INDIVIDUALKS101898
OTHERFIRSTGUARD #KS662541
MEDICAIDKS100376880C
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 KS 04-28262

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.