Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lara Ann Penn, FNP

Individual provider Family Nurse Practitioner · NPI 1538406954

Mrs. Lara Ann Penn, FNP is a Nurse Practitioner in O Fallon, Missouri. Qualified in 2012, 14 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

920 N Main St
O Fallon, MO 63366-1746
Phone: (314) 687-2731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7909 Highway N, Dardenne Prairie, MO 63368-7382 — (636) 625-1560

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2012041693 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2012041693 (MO)

Record details

NPI number1538406954
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 4, 2013
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in O Fallon