SOFIYA ALEXIS PRUSS PA-C
NPI 1811721319
Physician Assistant in Saint Louis, MO

Q: What is Sofiya Pruss's NPI number?

The NPI number for Sofiya Pruss is 1811721319. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Q: What is Sofiya Pruss's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sofiya Pruss was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 27, 2024PECOS EnrolledAccepts Medicare Assignment

10012 KENNERLY RD STE 102, SAINT LOUIS, MO 63128(314) 543-5911(314) 543-5914 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sofiya Alexis Pruss Pa-c NPPES

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

SOFIYA ALEXIS PRUSS PA-C (NPI 1811721319) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2024040291) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2024).

NPPES Registry Identity

NPI1811721319

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSOFIYA ALEXIS PRUSSCredential: PA-C

Location Address10012 KENNERLY RD STE 102Saint Louis, MO 63128-2197

Mailing Address10012 Kennerly Rd Ste 102Saint Louis, MO 63128-2197 · (314) 543-5911 · Fax (314) 543-5914

Phone(314) 543-5911

Fax(314) 543-5914

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2024

Enumeration DateAugust 27, 2024

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1811721319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 2024040291

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10012 KENNERLY RD STE 102, Saint Louis, MO 63128

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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

Sofiya Alexis Pruss 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 ID1254863152

PECOS Enrollment IDI20241016004495

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services18 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

11 services11 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

11 services11 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

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 16

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

MOHAMMED EYAD YASEEN ALSABBAGH M.D.

Internal Medicine (Gastroenterology)