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AYESHA LATIFAH LACKNA NP
NPI 1285433722
Nurse Practitioner - Acute Care in Florissant, MO

Active since March 08, 2025PECOS EnrolledAccepts Medicare Assignment
615 RANCHO LN, FLORISSANT, MO 63031(847) 235-6130(847) 235-6135 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2026, Jan 11, 2026, Mar 8, 2025 (3 updates tracked since 2025).

About Ayesha Latifah Lackna Np NPPES

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

AYESHA LATIFAH LACKNA NP (NPI 1285433722) is an individual acute care provider in Florissant, Missouri, licensed in Missouri (2025006595) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and maintains a secondary practice location in Saint Peters.

NPPES Registry Identity

NPI1285433722
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAYESHA LATIFAH LACKNACredential: NP
Location Address615 RANCHO LNFlorissant, MO 63031-1717
Mailing Address6348 N Milwaukee Ave # 390Chicago, IL 60646-3728 · (847) 235-6130 · Fax (847) 235-6135
Phone(847) 235-6130
Fax(847) 235-6135
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 8, 2025
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1285433722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2025006595
615 RANCHO LN, Florissant, MO 63031
Open in Google Maps ↗

Secondary Practice Location 1

Location 1230 Spencer RdSaint Peters, MO 63376-2425 · Phone (847) 235-6130 · Fax (847) 235-6135

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ayesha Latifah Lackna Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688183056
PECOS Enrollment IDI20250605001849
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

2

Medicare enrollment records show Ayesha Lackna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Karefirst Missouri PC
16 mi
Nurse Practitioner
230 SPENCER RD
Saint Peters, MO 63376
  • Reassigned Medicare billing, Missouri enrollment
  • 24 clinicians in this Medicare group
NPI 1942658943 (847) 235-6130
Provider Partners Care Management LP
727 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Missouri enrollment
  • 27 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63031 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 7

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

MRS. ELLEN MARIE KEY M.S. CCC-SLP
Speech-Language Pathologist
615 RANCHO LN
FLORISSANT, MO 63031
St. Louis County (314) 839-2150
RANCHO MANOR HEALTHCARE AND REHAB CENTER LLC
Skilled Nursing Facility
615 RANCHO LN
FLORISSANT, MO 63031
St. Louis County (314) 839-2150
MRS. ANNABELLE TAYLOR LPTA, CFO
Physical Therapy Assistant
615 RANCHO LN
FLORISSANT, MO 63031
St. Louis County (314) 839-2150
REHABCARE
Skilled Nursing Facility
615 RANCHO LN
FLORISSANT, MO 63031
St. Louis County (131) 483-9215
CHENOA AMILL JETER PTA
Physical Therapy Assistant
615 RANCHO LN
FLORISSANT, MO 63031
St. Louis County (314) 839-2150
RANCHO OPERATOR LLC
Skilled Nursing Facility
615 RANCHO LN
FLORISSANT, MO 63031
St. Louis County (314) 839-2150
CATHEDRALROCK
Skilled Nursing Facility
615 RANCHO LN
FLORISSANT, MO 63031
St. Louis County (314) 839-2150

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 Ayesha Lackna's NPI number?

The NPI number for Ayesha Lackna is 1285433722. It was assigned to this individual provider in the NPPES registry on March 8, 2025.

Where is Ayesha Lackna located?

Ayesha Lackna practices at 615 Rancho Ln, Florissant, MO 63031. The listed phone number is (847) 235-6130.

What is Ayesha Lackna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ayesha Lackna enrolled in Medicare?

Yes. Ayesha Lackna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ayesha Lackna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayesha Lackna reassigns Medicare benefits to 2 organizations: Karefirst Missouri PC (Saint Peters, MO) and Provider Partners Care Management LP (Columbia, MD). 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 Ayesha Lackna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ayesha Lackna affiliated with any hospitals?

According to CMS data, Ayesha Lackna is affiliated with Ssm St Clare Health Center.

When was this NPI record last updated?

The NPPES record for Ayesha Lackna was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.