Active NPI
Prairie Mental Health Services, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Warrensburg, MO
National Provider Identifier
1780947150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Andrew Fletcher, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Warrensburg, MO
- NPI 1932472610
-
- Psychiatric/Mental Health Nurse Practitioner
- Overland Park, KS
- NPI 1376284166
MO
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.