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

Christina Mayberry, FNP-BCNP-C

Individual provider Family Nurse Practitioner · NPI 1245123330

Christina Mayberry, FNP-BCNP-C is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2024, 2 years ago. Practices with Agans Medical LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

4625 Lindell Blvd
Saint Louis, MO 63108-3725
Phone: (573) 854-0410
Fax: (573) 552-4536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2025014200 (MO)

Record details

NPI number1245123330
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BCNP-C
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Agans Medical Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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