Prairie Nursing Facility LLC

Key facts

NPI: 1487656765
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
License: 3170 (WI)
Legal business name: PRAIRIE NURSING FACILITY LLC
Practice address: 700 S. Fremont Street
Prairie Du Chien, WI 53821
Phone: (608) 326-8471
Fax: (608) 326-3205
NPI assigned: Jun 1, 2005
Organization subpart: No

Authorized official

Name: Mrs. Mary Jo Wolcott
Title: Administrator
Phone: (608) 326-8471

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Walter R Boisvert, MD Family Medicine Physician · Prairie Du Chien, WI · NPI 1003810821

Care Compare affiliation Nursing home
David B Dehart, MD Family Medicine Physician · Prairie Du Chien, WI · NPI 1912997438

Care Compare affiliation Nursing home
Jennifer King, MSN,ARNP,FNP-C Family Nurse Practitioner · Prairie Du Chien, WI · NPI 1164028650

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Prairie Maison CCN 525525
Overall star rating: ★★☆☆☆ 2 of 5
Health inspections: ★★☆☆☆ 2 of 5
Staffing: ★★★★★ 5 of 5
Quality measures: ★☆☆☆☆ 1 of 5
Type: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified: Dec 1, 1993
Medicare certification status: Active (Provider of Services file)
Certified beds: 50 · 47.5 residents per day on average
Penalties (3 years): 3 · fines totaling $152,525

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
52D0718210	Prairie Maison 700 S Fremont St, Prairie Du Chien, WI 53821	Certificate of waiver	Aug 31, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WI

Skilled nursing facility certification: CCN 525525

Legal name: PRAIRIE NURSING FACILITY LLC
Doing business as: PRAIRIE MAISON
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Dec 1, 1993
Last certification: Jun 19, 2024
Beds: 50
Ownership / control type: Nonprofit Corporation
Organization structure: LLC · Proprietary
Enrollment address: 700 S Fremont St
Prairie Du Chien, WI 53821-2331
Nursing home name: PRAIRIE MAISON

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Name	Role	Since	Share
Joseph P. Friar Individual	Corporate Director Vice Chair	Oct 1, 2021
Joseph P. Friar Individual	Trustee of the SNF	Oct 1, 2021
Deborah a Mara Individual	Operational/Managerial Control	Oct 15, 2020
Deborah a Mara Individual	Adp of the SNF	Oct 15, 2020
Cierra D Snitker Individual	Corporate Director Finance Director	Apr 11, 2023
Cierra D Snitker Individual	Adp of the SNF	Nov 15, 2019
Sierra Ackerman Individual	Operational/Managerial Control	Oct 16, 2023
Sierra Ackerman Individual	Adp of the SNF	Oct 16, 2023
Mark a Grunwald Individual	Managing Control - Governing Body Board Chair	Nov 1, 2015
Mark a Grunwald Individual	Trustee of the SNF	Nov 1, 2015
Illene Olson Individual	Corporate Director	Nov 1, 2018
Illene Olson Individual	Trustee of the SNF	Nov 1, 2018
Individual	Adp of the SNF	Jan 1, 2024
Marsha Konichek Individual	Corporate Director	May 1, 2019
Marsha Konichek Individual	Trustee of the SNF	May 1, 2019
Prairie Nursing Facility LLC Organization · Prairie Du Chien, WI LLC, Non-profit	Operational/Managerial Control	Jan 1, 2008
	Adp of the SNF	Nov 11, 2025
Organization · Prairie Du Chien, WI LLC, Owned by another organization or individual	Indirect Ownership Interest	Aug 1, 2012	1%
Rita C Moore Individual	Operational/Managerial Control	Mar 18, 2024
Rita C Moore Individual	Adp of the SNF	Mar 18, 2024
Organization · La Crosse, WI Consulting firm	Adp of the SNF	Nov 11, 2025
Lynn Schreck Individual	Corporate Director	Mar 1, 2018
Lynn Schreck Individual	Trustee of the SNF	Mar 1, 2018
Community Health Services Corporation Organization · Prairie Du Chien, WI Corporation, Non-profit	5% Or Greater Direct Ownership Interest	Nov 1, 2004	100%
	Operational/Managerial Control	Jan 1, 2008
	Adp of the SNF	Jan 1, 2008
Jane Baker Individual	Corporate Director	Aug 28, 2024
Jane Baker Individual	Trustee of the SNF	Aug 28, 2024

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20050808000114	WI	Part a Provider - Skilled Nursing Facility	4688603962	Practice locations: Prairie Du Chien, WI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	3170	WI	Yes

Addresses

Primary practice location

700 S. Fremont Street
Prairie Du Chien, WI 53821

Mailing address

700 S. Fremont Street
Prairie Du Chien, WI 53821
Phone (608) 326-8471

Other identifiers

Identifier	Type	State	Issuer
20194200	Medicaid	WI

Other names

Prairie Maison Doing business as

Other providers in Prairie Du Chien, WI

All providers in Prairie Du Chien, WI · Skilled Nursing Facility in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.