Organization Active NPI

Prairie Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warrensburg, MO
National Provider Identifier
1780947150
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRAIRIE MENTAL HEALTH SERVICES, LLC
Practice address
417 W Young Ave
Warrensburg, MO 64093-1113
Phone
(660) 747-4700
Fax
(660) 747-4701
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Bruce Andrew Fletcher, APRNNPI 1932472610
Title
Chief Ecxecutive Officer
Phone
(660) 747-4700

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: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

417 W Young Ave
Warrensburg, MO 64093-1113

Mailing address

PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120813000403 MO Part B Supplier - Clinic/Group Practice 7719133404 Receives reassigned benefits from 2 practitioners
Practice locations: Warrensburg, MO

National Provider Directory

National Provider Directory

Locations

417 W Young Ave
Warrensburg, MO 64093
Phone (660) 238-9763

101 E Market St
Ste A
Warrensburg, MO 64093
Phone (660) 747-4700

Practitioners & affiliated clinicians

Practitioners 2

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": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1780947150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W YOUNG AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931113",
            "telephone_number": "660-747-4700",
            "fax_number": "660-747-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF ECXECUTIVE OFFICER",
        "authorized_official_telephone_number": "660-747-4700",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.