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

MS. Kelly Renee Mangold, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1477876803

MS. Kelly Renee Mangold, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lake St Louis, Missouri. Qualified in 2009, 17 years ago. Practices with Anesthesia Care Associates LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Missouri and North Carolina.

Years since qualifying
17
Licensed in
MO, NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

3 Scarlet Oak Ct
Lake St Louis, MO 63367-2130
Phone: (312) 919-6286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 6708 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2010005602 (MO)

Record details

NPI number1477876803
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 12, 2010
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Anesthesia Care Associates Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount