Ms. Kelly Renee Mangold is a Lake St Louis, Missouri based nurse anesthetist with 16 years of experience as Anesthesia Administration. She completed she graduation from Southern Illinois University School Of Medicine in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Kelly Renee Mangold is 6708 for Anesthesia Administration in North Carolina. Her current practice location is 3 Scarlet Oak Ct, Lake St Louis. Patients can reach her at 312-919-6286. Ms. Kelly Renee Mangold is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1477876803. Ms. Kelly Renee Mangold is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Ms. Kelly Renee Mangold speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
16+ years
Medical School Attended:
Southern Illinois University School Of Medicine
Graduation Year:
2009
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3 Scarlet Oak Ct, Lake St Louis, Missouri, 63367-2130
Phone:
312-919-6286
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2466582424
Enrollment ID:
I20100617000666
NPI Number:
1477876803
NPI Enumeration Date:
12 Mar, 2010
NPI Last Update On:
28 Jun, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kelly Renee Mangold are as mentioned below.
License Number
Specialization
State
Status
6708
Anesthesia Administration
North Carolina
Primary
2010005602
Anesthesia Administration
Missouri
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ms. Kelly Renee Mangold has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Anesthesia Stat Llc (4385039346)
2
Jefferson City Medical Group Pc (1850371089)
103
Novamed Eye Surgery Center Of North County Llc (6901866128)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kelly Renee Mangold such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
600420070
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3 Scarlet Oak Ct, Lake St Louis, Missouri
Zip:
63367-2130
Phone Number:
312-919-6286
Fax Number:
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Patients can reach Ms. Kelly Renee Mangold at 3 Scarlet Oak Ct, Lake St Louis, Missouri or can call to book an appointment on 312-919-6286.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.