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

Active since March 08, 2025PECOS EnrolledAccepts Medicare Assignment
8545 LEITH AVE, SAINT LOUIS, MO 63134(314) 347-7299 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2026, Mar 8, 2025 (2 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 Saint Louis, Missouri, licensed in Missouri (2025006595) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285433722
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAYESHA LATIFAH LACKNACredential: NP
Location Address8545 LEITH AVESaint Louis, MO 63134-3223
Mailing Address8545 Leith AveSaint Louis, MO 63134-3223 · (314) 347-7299
Phone(314) 347-7299
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 8, 2025
Last NPPES UpdateJanuary 11, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
✔ NPI 1285433722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2025006595
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 20255006595 (MO)
8545 LEITH AVE, Saint Louis, MO 63134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63134 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.

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 8545 Leith Ave, Saint Louis, MO 63134. The listed phone number is (314) 347-7299.

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.

When was this NPI record last updated?

The NPPES record for Ayesha Lackna was last updated on January 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.