THOMAS PRANGE PA-C
NPI 1356701676
Physician Assistant - Surgical in Saint Louis, MO

Q: What is Thomas Prange's NPI number?

The NPI number for Thomas Prange is 1356701676. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Q: What is Thomas Prange's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Prange was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 29, 2016PECOS EnrolledAccepts Medicare Assignment

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2023, Nov 6, 2020, Feb 29, 2016 (3 updates tracked since 2016).

On this page

About Thomas Prange Pa-c NPPES

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

THOMAS PRANGE PA-C (NPI 1356701676) is an individual surgical provider in Saint Louis, Missouri, licensed in Missouri (2016005474) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and maintains a secondary practice location in Joplin.

NPPES Registry Identity

NPI1356701676

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTHOMAS PRANGECredential: PA-C

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address100 Mercy Way Ste 310Joplin, MO 64804-4524 · (417) 556-8600

Phone(314) 257-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 29, 2016

Last NPPES UpdateSeptember 23, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2025

✔ NPI 1356701676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MO · 2016005474

1465 S GRAND BLVD, Saint Louis, MO 63104

Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Mercy Way Ste 310Joplin, MO 64804-4524 · Phone (417) 556-8600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and more.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

Thomas Prange Pa-c 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 ID6901103597

PECOS Enrollment IDI20160325000451

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.

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

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.

DR. SARAH MARGARET HANLY PH.D.

Psychologist (Clinical)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5667

KAVIPRIYA KOMESWARAN

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 617-2000

ALEXIS HAAS STEWART

Anesthesiologist Assistant

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 977-5700

NATALIE DRURY RD, LD

Dietitian, Registered (Nutrition, Pediatric)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5387

TIMOTHY J KUTZ MD

Pediatrics (Child Abuse Pediatrics)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-6406

CHRISTOPHER SALLEE MD

Pediatrics

1465 S GRAND BLVD
ST. LOUIS, MO 63104

St. Louis City (314) 577-1607

AMBER GRANA DO

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5695

DR. ETHAN EMIL PFEIFER MD

Student in an Organized Health Care Education/Training Program

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-4070

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 Thomas Prange's NPI number?

The NPI number for Thomas Prange is 1356701676. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Thomas Prange located?

Thomas Prange practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 257-8000.

What is Thomas Prange's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Thomas Prange enrolled in Medicare?

Yes. Thomas Prange 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 Thomas Prange accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Thomas Prange 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 Thomas Prange affiliated with any hospitals?

According to CMS data, Thomas Prange is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Prange was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.