Individual provider Active NPI

Tarren Prange, APNP

  • Family Nurse Practitioner
  • Lindenhurst, IL
National Provider Identifier
1922573625
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018037 Issued in IL
Practice address
2020 E Grand Ave
Lindenhurst, IL 60046-9069
Phone
(847) 356-4302
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8327 WI
Family Nurse Practitioner 363LF0000X 209018037 IL Primary
Family Nurse Practitioner 363LF0000X 2026013021 MO

Addresses

Primary practice location

2020 E Grand Ave
Lindenhurst, IL 60046-9069

Mailing address

2020 E Grand Ave
Lindenhurst, IL 60046-9069
Phone (847) 356-4302

Other practice location 1

3825 S Noland Rd
Independence, MO 64055-3344
Phone (866) 389-2727

Other practice location 2

3710 57th Ave
Kenosha, WI 53144-4820
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
8327-33OtherWIAPNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, HI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181205000379 WI Practitioner - Nurse Practitioner 0345584108 Reassigns benefits to 2 organizations
I20210923000572 IL Practitioner - Nurse Practitioner 0345584108 Reassigns benefits to 3 organizations
I20260513001428 HI Practitioner - Nurse Practitioner 0345584108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Video Virtual Care North, LLCGroup PAC ID 1254762297, 15 clinicians
Minuteclinic Video Virtual Care of Wisconsin, SCGroup PAC ID 0547684243, 3 clinicians
Minuteclinic Diagnostic of Wisconsin LLCGroup PAC ID 7810210259, 9 clinicians
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians

Practice addresses (Care Compare)

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727

1650 N Farwell Ave
Milwaukee, WI 53202-2331
Phone (866) 389-2727

2020 E Grand Ave
Lindenhurst, IL 60046-9069
Phone (866) 389-2727

3710 57TH Ave
Kenosha, WI 53144-4820
Phone (866) 389-2727

520 N Western Ave
Lake Forest, IL 60045-1920
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209018037ILMDFamily Nurse Practitioner
2026013021MOMDFamily Nurse Practitioner
8327WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Aug 4, 2021 Accepting new patients
Minuteclinic Video Virtual Care of Wisconsin, SC Family CurrentSince Oct 19, 2023 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Oct 19, 2023 Accepting new patients
Minuteclinic Diagnostic of Wisconsin, LLC Family CurrentSince Oct 19, 2023 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

520 N Western Ave
Lake Forest, IL 60045
Phone (847) 739-3111

2020 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4302

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

1 Cvs Dr
#3040
Woonsocket, RI 02895

3710 57th Ave
Kenosha, WI 53144
Phone (262) 652-1474

1650 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 277-5044

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1922573625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E GRAND AVE",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469069",
            "telephone_number": "847-356-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E GRAND AVE",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469069",
            "telephone_number": "847-356-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 S Noland Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640553344",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3710 57th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531444820",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRANGE",
        "first_name": "TARREN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018037",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2026013021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APNP LICENSE",
            "identifier": "8327-33",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, IL

Sources for this page

Verify at the official NPI Registry.