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

Amanda Johnson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1245052117

Amanda Johnson, AGACNP is a Nurse Practitioner in Chesterfield, Missouri. Qualified in 2023, 3 years ago. Practices with Physician Specialists of St Lukes LLC, a 75-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
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Practice location Address checks out

232 S Woods Mill Rd
Chesterfield, MO 63017-3485
Phone: (314) 434-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2024013896 (MO)

Record details

NPI number1245052117
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address1065 Timberline Dr, Fenton, MO 63026-4557

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physician Specialists Of St Lukes Llc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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