Individual provider Active NPI

Lara Beth Offenburger, PA-C

  • Physician Assistant
  • Nevada, MO
National Provider Identifier
1407854110
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03162 Issued in TX
Practice address
2101 N Ash St
Nevada, MO 64772-1082
Phone
(417) 448-6488
Fax
(417) 423-8402
NPI assigned
Jul 7, 2005
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03162 TX Primary

Addresses

Primary practice location

2101 N Ash St
Nevada, MO 64772-1082

Mailing address

2450 Louisiana St Ste 400-219
Houston, TX 77006-2380

Other practice location 1

3043 Gessner Rd
Houston, TX 77080-1000
Phone (346) 888-0055

Other practice location 2

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (620) 224-2469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000723 TX Practitioner - Physician Assistant 3870510878 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Doctors Texas PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1407854110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST STE 400-219",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721082",
            "telephone_number": "417-448-6488",
            "fax_number": "417-423-8402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3043 Gessner Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770801000",
            "country_code": "US",
            "telephone_number": "346-888-0055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Woodland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Scott",
            "state": "KS",
            "postal_code": "667018797",
            "country_code": "US",
            "telephone_number": "620-224-2469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFFENBURGER",
        "first_name": "LARA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.