PANGAA FISHER FNP
NPI 1336690288
Nurse Practitioner - Family in Saint Louis, MO

Active since October 16, 2016PECOS EnrolledAccepts Medicare Assignment
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-6339(314) 251-4564 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 21, 2025, Jul 24, 2018, Nov 7, 2016 and 1 more (4 updates tracked since 2016).

About Pangaa Fisher Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANGAA FISHER FNP (NPI 1336690288) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2019015720) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336690288
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePANGAA FISHERCredential: FNP
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address615 S New Ballas RdSaint Louis, MO 63141-8221 · (314) 251-6339 · Fax (314) 251-4564
Fax(314) 251-4564
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 16, 2016
Last NPPES UpdateMay 21, 20254 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1336690288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MO · 2019015720 Licensed in OK · R0120309
615 S NEW BALLAS RD, Saint Louis, MO 63141

Other Names 1

Former Name (1)Pangaa Buniya Fnp

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pangaa Fisher Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951687177
PECOS Enrollment IDI20191022001050
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
88 services64 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Dentist
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pangaa Fisher's NPI number?

The NPI number for Pangaa Fisher is 1336690288. It was assigned to this individual provider in the NPPES registry on October 16, 2016. The provider is also known as Pangaa Buniya Fnp.

Where is Pangaa Fisher located?

Pangaa Fisher practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6339.

What is Pangaa Fisher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pangaa Fisher enrolled in Medicare?

Yes. Pangaa Fisher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pangaa Fisher accept?

Health plans from Medica list Pangaa Fisher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pangaa Fisher affiliated with any hospitals?

According to CMS data, Pangaa Fisher is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Pangaa Fisher was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.