Organization Active NPI

Prairie Healthcare Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1407725633
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRAIRIE HEALTHCARE SERVICES INC
Practice address
1995 McThurstan CT Apt 213
St Charles, IL 60174-4047
Phone
(773) 799-5442
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bashir AlliNPI 1376361287
Title
Owner
Phone
(773) 799-5442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1995 McThurstan CT Apt 213
St Charles, IL 60174-4047

Mailing address

1995 McThurstan CT Apt 213
St Charles, IL 60174-4047
Phone (773) 799-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260128002428 IL Part B Supplier - Clinic/Group Practice 9931687399 Receives reassigned benefits from 1 practitioner
Practice locations: St Charles, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1407725633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 MCTHURSTAN CT APT 213",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744047",
            "telephone_number": "773-799-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 MCTHURSTAN CT APT 213",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744047",
            "telephone_number": "773-799-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "ALLI",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-799-5442"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.