Ms Kelly Renee Mangold, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lake St Louis, MO

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Ms Kelly Renee Mangold, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake St Louis, Missouri. She went to Southern Illinois University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Jefferson City Medical Group Pc, Novamed Eye Surgery Center Of North County Llc and her current practice location is 3 Scarlet Oak Ct, Lake St Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (312) 919-6286.

Ms Kelly Renee Mangold is licensed to practice in North Carolina (license number 6708) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477876803.

Contact Information

Ms Kelly Renee Mangold, CRNA
3 Scarlet Oak Ct,
Lake St Louis, MO 63367-2130
(312) 919-6286
Not Available

Map and Direction




Provider's Profile

Full NameMs Kelly Renee Mangold
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location3 Scarlet Oak Ct, Lake St Louis, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kelly Renee Mangold attended and graduated from Southern Illinois University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1477876803
  • Provider Enumeration Date: 03/12/2010
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466582424
  • Enrollment ID: I20100617000666

Medical Identifiers

Medical identifiers for Ms Kelly Renee Mangold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477876803NPI-NPPES
600420070MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2010005602 (Missouri)Secondary
367500000XNurse Anesthetist, Certified Registered 6708 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jefferson City Medical Group Pc185037108997
Novamed Eye Surgery Center Of North County Llc69018661283

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kelly Renee Mangold allows following entities to bill medicare on her behalf.
Entity NameJoseph A Bendet Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881755288
PECOS PAC ID: 2163316258
Enrollment ID: O20040211000157
Entity NameJefferson City Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336189398
PECOS PAC ID: 1850371089
Enrollment ID: O20040908000924
Entity NameDreamland Uap Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073919494
PECOS PAC ID: 9133442825
Enrollment ID: O20150105001419
Entity NameLaser Spine Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265483895
PECOS PAC ID: 5496759409
Enrollment ID: O20150226000992
Entity NameNovamed Eye Surgery Center Of North County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003260100
PECOS PAC ID: 6901866128
Enrollment ID: O20160720002627
Entity NameAim Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245685601
PECOS PAC ID: 3971896705
Enrollment ID: O20160801001265
Entity NameNorthstar Anesthesia Of Missouri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396191789
PECOS PAC ID: 4082908249
Enrollment ID: O20160810001928
Entity NameKey Anesthesia Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467073742
PECOS PAC ID: 0547691180
Enrollment ID: O20200514000508
Entity NameOlde Cabin Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780228155
PECOS PAC ID: 8426489048
Enrollment ID: O20200515000838
Entity NameCpr Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326436353
PECOS PAC ID: 7416272927
Enrollment ID: O20200625003307
Entity NameAnesthesia Stat Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467113357
PECOS PAC ID: 4385039346
Enrollment ID: O20220310000589

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelly Renee Mangold is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kelly Renee Mangold, CRNA
3 Scarlet Oak Ct,
Lake St Louis, MO 63367-2130

Ph: (312) 919-6286		Ms Kelly Renee Mangold, CRNA
3 Scarlet Oak Ct,
Lake St Louis, MO 63367-2130

Ph: (312) 919-6286

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lake St Louis, MO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.