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LA TANYA LAWRENCE AS
NPI 1104121102
Nurse Practitioner - Family in Saint Louis, MO

Active since January 21, 2011PECOS Enrolled
175 N OAKS PLZ, SAINT LOUIS, MO 63121(314) 391-9777(314) 390-5404 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Mar 28, 2023, Mar 15, 2019 (3 updates tracked since 2019).

About La Tanya Lawrence As NPPES

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

LA TANYA LAWRENCE AS (NPI 1104121102) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2019005430) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104121102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLA TANYA LAWRENCECredential: AS
Location Address175 N OAKS PLZSaint Louis, MO 63121-2925
Mailing Address175 N Oaks PlzSaint Louis, MO 63121-2925 · (314) 391-9777 · Fax (314) 390-5404
Phone(314) 391-9777
Fax(314) 390-5404
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 21, 2011
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1104121102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2019005430
175 N OAKS PLZ, Saint Louis, MO 63121
Open in Google Maps ↗

Other Identifiers 1

OtherG9011663MO · United Health Plus Insurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Tanya Lawrence As is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163743071
PECOS Enrollment IDI20260225001823
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.

Medicare Billing Reassignments

4

Medicare enrollment records show La Tanya Lawrence reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Town Medical Practice, LLC
9.1 mi
Internal Medicine
9 SACKSTON WOODS LN
Creve Coeur, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1023467008 (314) 651-6132
Signify Health, LLC
542 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
542 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Dedicated Missouri Holding, LLC
1,057 mi
Internal Medicine
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Missouri enrollment
  • 24 clinicians in this Medicare group
NPI 1053958082 (305) 628-6117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63121 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
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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 8

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

SALWAT SHAMI M.D.
Internal Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
DR. SABRINA JANIE GARD MD, MPH, AAHIVS
Internal Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
EDWARD JAMAL DUQUM DO
Internal Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
KHAROLE COMPERE M.D.
Family Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
DELORA M BROOKS FNP-BC
Nurse Practitioner (Family)
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
DR. DAVID GLICK M.D.
Family Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
MR. VINCENT VIET NGO M.D.
Family Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
DEDICATED MISSOURI HOLDING, LLC
Non-Pharmacy Dispensing Site
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 328-0144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Tanya Lawrence's NPI number?

The NPI number for La Tanya Lawrence is 1104121102. It was assigned to this individual provider in the NPPES registry on January 21, 2011.

Where is La Tanya Lawrence located?

La Tanya Lawrence practices at 175 N Oaks Plz, Saint Louis, MO 63121. The listed phone number is (314) 391-9777.

What is La Tanya Lawrence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is La Tanya Lawrence enrolled in Medicare?

Yes. La Tanya Lawrence is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for La Tanya Lawrence's services?

According to the CMS Revalidation Reassignment List (October 2026 release), La Tanya Lawrence reassigns Medicare benefits to 4 organizations: Mid-Town Medical Practice, LLC (Creve Coeur, MO), Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX) and Dedicated Missouri Holding, LLC (Miami Gardens, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for La Tanya Lawrence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does La Tanya Lawrence accept?

Health plans from Oscar Insurance Company list La Tanya Lawrence as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Tanya Lawrence was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.