MS. KELLY RENEE MANGOLD CRNA
NPI 1477876803
Nurse Anesthetist, Certified Registered in Lake St Louis, MO
About Ms. Kelly Renee Mangold Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY RENEE MANGOLD CRNA (NPI 1477876803) is an individual nurse anesthetist, certified registered in Lake St Louis, Missouri, licensed in North Carolina (6708) and active in the NPI registry since March 2010. She is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Ms. Kelly Renee Mangold Crna 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.
Medicare Billing Reassignments
11Medicare enrollment records show Kelly Mangold reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgetown, MO 63044
- Reassigned Medicare billing, Missouri enrollment
- 49 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 8 clinicians in this Medicare group
Hazelwood, MO 63042
- Reassigned Medicare billing, Missouri enrollment
- 26 clinicians in this Medicare group
Florissant, MO 63031
- Reassigned Medicare billing, Missouri enrollment
- 2 clinicians in this Medicare group
Jefferson City, MO 65109
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Jefferson City Medical Group PC
- 155 clinicians in this Medicare group
South Bend, IN 46635
- Reassigned Medicare billing, Indiana enrollment
- 24 clinicians in this Medicare group
South Bend, IN 46635
- Reassigned Medicare billing, Indiana enrollment
- 27 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Missouri enrollment
- 189 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 58 clinicians in this Medicare group
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 133 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kelly Mangold's NPI number?
The NPI number for Kelly Mangold is 1477876803. It was assigned to this individual provider in the NPPES registry on March 12, 2010.
Where is Kelly Mangold located?
Kelly Mangold practices at 3 Scarlet Oak Ct, Lake St Louis, MO 63367. The listed phone number is (312) 919-6286.
What is Kelly Mangold's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelly Mangold enrolled in Medicare?
Yes. Kelly Mangold 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 Kelly Mangold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mangold reassigns Medicare benefits to 11 organizations: Aim Anesthesia LLC (Bridgetown, MO), Novamed Eye Surgery Center Of North County LLC (Saint Louis, MO), Dreamland Uap Anesthesia, LLC (Hazelwood, MO), Anesthesia Stat LLC (Florissant, MO), Jefferson City Medical Group, P.C. (Jefferson City, MO) and 6 more organizations, listed in the Medicare section above. 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 Kelly Mangold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mangold accept?
Health plans from CareSource list Kelly Mangold 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 Kelly Mangold was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Ms. Kelly Renee Mangold, CRNA · NPI 1477876803
Nurse Anesthetist, Certified Registered physician in Lake St Louis, Missouri. Individual provider, active in the CMS NPPES registry since March 12, 2010.
## Identity
- **NPI:** 1477876803 (Entity type: Individual)
- **Enumerated:** March 12, 2010
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 6708 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 SCARLET OAK CT, Lake St Louis, MO 63367-2130
- **Phone:** (312) 919-6286
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Aim Anesthesia LLC (NPI 1245685601, Bridgetown, MO); Novamed Eye Surgery Center Of North County LLC (NPI 1003260100, Saint Louis, MO); Dreamland Uap Anesthesia, LLC (NPI 1073919494, Hazelwood, MO); Anesthesia Stat LLC (NPI 1467113357, Florissant, MO); Jefferson City Medical Group, P.C. (NPI 1336189398, Jefferson City, MO); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 28, 2023
- **Other identifiers:** Medicaid 600420070 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1477876803) · Data from the CMS NPPES public registry.