Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Prairie Star Family Practice, PA

Organization Family Medicine Physician · NPI 1003929001

Prairie Star Family Practice, PA provides Family Medicine Physician services in Plainville, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1210 N Washington Clinic B
Plainville, KS 67663-1632 Not confirmed with CMS for 16 years — call before visiting
Phone: (785) 434-2622
Fax: (785) 434-2577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 04-28262 (KS)

Record details

NPI number1003929001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Brull — Owner/President · (785) 434-2622
NPI enumeratedAugust 16, 2006
Last updated in NPPESJune 15, 2010
Mailing address1210 N. Washington, Clinic B, P.O. Box 407, Plainville, KS 67663-0407

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