Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyler Prisk, PA

Individual provider Physician Assistant · NPI 1780542027

Kyler Prisk, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2025, 1 year ago. Practices with Lester E Cox Medical Centers, a 249-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 364-8318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3801 S National Ave Ste 130, Springfield, MO 65807-6162 — (417) 269-6000
  • 3800 S National Ave Ste 600, Springfield, MO 65807-5249 — (417) 875-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2026008094 (MO)

Record details

NPI number1780542027
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lester E Cox Medical Centers — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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