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

Dr. Scott R. Moose, MD

Individual provider Family Medicine Physician · NPI 1255405023

Dr. Scott R. Moose, MD is a Family Medicine Physician in Nixa, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

940 W Mount Vernon St
Nixa, MO 65714-9609
Phone: (417) 724-5200
Fax: (417) 724-5203
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 113804 (MO)

Record details

NPI number1255405023
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESMay 9, 2013
Mailing addressPo Box 2580, Springfield, MO 65801-2580

Other providers in Nixa