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Active NPI 1538406954 Individual Practitioner Female Practitioner

Lara Ann Penn , FNP

Nurse Practitioner • O Fallon, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lara Penn, FNP is a certified Nurse Practitioner practicing in O Fallon, MO. With approximately 14 years of clinical experience since completing medical education in 2012, Lara Penn delivers high-quality medical care to the local community at 920 N MAIN ST.

Lara Penn maintains professional affiliations with Ssm Medical Group Inc, Agnesian Healthcare Inc, Dean Health Systems Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, adm sarscov2 30mcg/0.3ml 3rd, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

920 N Main St

O Fallon, MO 633661746

Telephone 3146872731
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1619984622

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in O Fallon, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +1.8 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
34 Specialists

Practicing in O Fallon, MO (1750 Statewide)

Telehealth Adoption Rate
20.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
8.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Penn (14 Years) 14 Yrs
O Fallon Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
58 57 $63.52 $58.09

Medical Specialties & State Licenses

CMS Verified: 2020-10-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2012041693

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 2012041693

Definition to come...

Hospital & Practice Group Affiliations

Saints Medical Group, Llc

2749 Progressive Dr, Edmond, OK 730347649

Phone: 4057724130

Saints Medical Group, Llc

608 Nw 9th St, Oklahoma City, OK 731021049

Physician Services Corporation Of Southern Illinois Inc

602 S 42nd St, Mount Vernon, IL 628646264

Phone: 6188993777

Ssm Medical Group Inc

30 Ronnies Plz, Saint Louis, MO 631263552

Phone: 3147485800

Dean Health Systems Inc

1821 S Stoughton Rd, Madison, WI 537162257

Phone: 6082606000

Agnesian Healthcare Inc

420 E Division St, Fond Du Lac, WI 549354560

Phone: 9209237400

Ssm Medical Group Inc

1035 Bellevue Ave, Saint Louis, MO 631171843

Phone: 3149254770

Secondary Practice Locations

7909 Highway N

Dardenne Prairie, MO 633687382

Phone: 6366251560

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dawn Johns

Nurse Practitioner

NPI 1073903241
Lara Burnett , FNP-BC

Nurse Practitioner

NPI 1154652360

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 26, 2020

Registered at 920 N MAIN ST, O FALLON, MO 633661746 (Tel: 3146872731)

📍
Updated Business Mailing Address October 26, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2018

Nurse Practitioner (License #2012041693 in MO)

NPI Profile Active January 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2013

Registered at 7909 HIGHWAY N, DARDENNE PRAIRIE, MO 633687382 (Tel: 6366251560)

📍
Updated Business Mailing Address January 04, 2013

Registered at 315 SIR CALVERT CT, DARDENNE PRAIRIE, MO 633687339 (Tel: 6366141095)

👤
Provider Name / Credentials Updated January 04, 2013

Recorded as LARA PENN, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2013

Nurse Practitioner (License #2012041693 in MO)

🟢
Initial NPI Registration & Enumeration January 04, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538406954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2013
Last Update: October 26, 2020
Sole Proprietor: No

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.