MS. KELLY RENEE MANGOLD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1477876803
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
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Provider Addresses for MS. KELLY RENEE MANGOLD (CRNA)
3, Scarlet Oak Court, Bay Oaks, Lake Saint Louis, Saint Charles County, Missouri, 63367, United States
LAKE ST LOUIS, MO 633672130
Phone: (312) 919-6286
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100617000666 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20211118000989 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
| I20250218002981 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20260313000445 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 173 | 160 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 100 | 100 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 68 | 66 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 53 | 53 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 21 | 21 | $0 |
Insurance plans in this area (ZIP 63367)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | MO | 00142 | Anesthesia for lens surgery | 37 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | FL | |
| - | IN | |
| - | IN | |
| - | KY |
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