Pratt Family Practice – Rural Health Clinic/Center, NPI 1740233204

Pratt Family Practice is a healthcare provider. based in Pratt, Kansas. specializing in Rural Health Clinic/Center. The NPI Number for Pratt Family Practice is 1740233204

Main info

Organization
Name
Pratt Family Practice
NPI
1740233204
Phone
(620) 672-7422
Address
203 WATSON ST
Authorized Official
WAKON FOWLER MEDICAL DIRECTOR M.D.
Enumeration Date
18 May 2006
Last Update Date
16 July 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Pratt Family Practice

  • Watson Street, Pratt, Pratt County, Kansas, 67124, United States

    SUITE 200

    PRATT, KS 671243066

    Phone: (620) 672-7422

    Fax: (620) 508-6476

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-06-30 (711 days ago).

Enrollment records

2

Earliest due date

2024-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050421000488OClinic/Group PracticeKSTBD
O20120203000713ORural Health ClinicKS2024-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67124)

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Reviews

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Frequently asked questions

How do I look up Pratt Family Practice by NPI?
Use NPI 1740233204 when you need to reference Pratt Family Practice in forms, claims, or directories.
Is Pratt Family Practice active in the national directory?
Pratt Family Practice's public NPI profile is in an active state.
What field does Pratt Family Practice work in?
You can think of Pratt Family Practice as practicing within Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for Pratt Family Practice?
The page summarizes Pratt, Kansas for Pratt Family Practice; expand the address list for detail.
Is Pratt Family Practice a real provider?
This page reflects official NPPES data for NPI 1740233204. Always confirm identity and privileges with the practice and licensing boards.

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