Individual provider Active NPI

Rebecca J Prange, CRNA

  • Certified Registered Nurse Anesthetist
  • Scituate, MA
National Provider Identifier
1609301472
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
283942 Issued in MA
Practice address
2 Ladds Way
Scituate, MA 02066-1920
Phone
(781) 424-8927
NPI assigned
Apr 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 821720 CA
Certified Registered Nurse Anesthetist 367500000X 283942 MA Primary

Addresses

Primary practice location

2 Ladds Way
Scituate, MA 02066-1920

Mailing address

2 Ladds Way
Scituate, MA 02066-1920
Phone (781) 424-8927

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA, NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170926000551 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264706530
I20181128003011 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264706530 Reassigns benefits to 1 organization
I20220818001047 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264706530 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Physician Enterprise-Anesthesia LLCGroup PAC ID 2264794569, 224 clinicians

Practice addresses (Care Compare)

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 717-4866

Hospital & facility affiliations

  • Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
283942MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia P.C. CurrentSince Jun 8, 2022 Accepting new patients
Leighow Anesthesia & Medical Aesthetics LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2022 Accepting new patients
Orthoanesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Reekeshrpatelmd Inc CurrentSince Nov 4, 2022 Accepting new patients
Midwest Gastrointestinal Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jan 9, 2023 Accepting new patients
Sky Anesthesia Inc. CurrentSince Nov 4, 2022 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2024 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Basic Home Infusion, LLC Past Accepting new patients
Midwest Endoscopy Services LLC Past Accepting new patients

Locations

4477 W 118th St
Ste 501
Hawthorne, CA 90250
Phone (310) 679-9999

2727 N Clarkson St
Fremont, NE 68025
Phone (402) 727-8500

2900 E Elk Ln
Fremont, NE 68025
Phone (402) 721-8895

11704 W Center Rd
Ste 110
Omaha, NE 68144
Phone (402) 212-0847

7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866

2808 S 143rd Plz
Omaha, NE 68144
Phone (321) 223-0225

8901 Indian Hills Dr
Ste 100
Omaha, NE 68114
Phone (402) 933-1500

11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057

17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

9850 Nicholas St
Omaha, NE 68114
Phone (402) 343-1122

8814 Maple St
Ste 1
Omaha, NE 68134
Phone (402) 620-6650

11819 Miracle Hills Dr
Ste 201
Omaha, NE 68154
Phone (402) 884-2450

4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010

535 Fortune Dr
Ste 200
Papillion, NE 68046
Phone (402) 934-8040

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1609301472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LADDS WAY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661920",
            "telephone_number": "781-424-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LADDS WAY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661920",
            "telephone_number": "781-424-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANGE",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "821720",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "283942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.