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

Glen A Mohan, CFNP

Individual provider Family Nurse Practitioner · NPI 1457303968

Glen A Mohan, CFNP is a Nurse Practitioner in Farmington, Missouri. Qualified in 2005, 21 years ago. Practices with Urology of St Louis Inc, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

501 W Pine St
Farmington, MO 63640-1439
Phone: (573) 756-8888
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1101 Weber Rd, Farmington, MO 63640-3352 — (573) 756-5787

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 142519 (MO)

Record details

NPI number1457303968
Entity typeIndividual (Type 1)
GenderMale
Credentials CFNP
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address501 W Pine St, Farmington, MO 63640-1439

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Urology Of St Louis Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Farmington