Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Roots Wellness, LLC

Organization Physician Assistant · NPI 1467216275

Prairie Roots Wellness, LLC is a Physician Assistant in Mc Cook, Nebraska. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

801 W C St
Mc Cook, NE 69001-3591
Phone: (308) 777-2476
Fax: (308) 223-5752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1467216275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Ellicott — Physician Assistant · (308) 883-0658
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing addressPo Box 565, Mc Cook, NE 69001-0565

Other providers in Mc Cook