LARA KANG AGACNP
NPI 1841897394
Nurse Practitioner - Acute Care in Saint Louis, MO
About Lara Kang Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARA KANG AGACNP (NPI 1841897394) is an individual acute care provider in Saint Louis, Missouri, licensed in Missouri (2020018091) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Lara Kang Agacnp 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 Reassignment
Medicare enrollment records show Lara Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 26 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
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 Lara Kang's NPI number?
The NPI number for Lara Kang is 1841897394. It was assigned to this individual provider in the NPPES registry on October 7, 2020. The provider is also known as Lara Adelby.
Where is Lara Kang located?
Lara Kang practices at 12700 Southfork Rd Ste 280, Saint Louis, MO 63128. The listed phone number is (314) 892-6565.
What is Lara Kang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Lara Kang enrolled in Medicare?
Yes. Lara Kang 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 organization bills Medicare for Lara Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lara Kang reassigns Medicare benefits to Mercy Clinic Pulmonology - St. Louis, LLC (Saint Louis, MO). The 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 Lara Kang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lara Kang was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lara Kang, AGACNP · NPI 1841897394
Acute Care physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since October 7, 2020.
## Identity
- **NPI:** 1841897394 (Entity type: Individual)
- **Enumerated:** October 7, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 2020018091 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12700 SOUTHFORK RD STE 280, Saint Louis, MO 63128-3287
- **Phone:** (314) 892-6565 · **Fax:** (314) 892-4828
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Pulmonology - St. Louis, LLC (NPI 1821137886, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841897394) · Data from the CMS NPPES public registry.