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

Gloria Michelle Paul Edacheril, NP

Individual provider Nurse Practitioner · NPI 1144502253

Gloria Michelle Paul Edacheril, NP is a Nurse Practitioner in O Fallon, Missouri. Qualified in 2010, 16 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
16
Licensed in
MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

20 Progress Point Pkwy Ste 108
O Fallon, MO 63368
Phone: (636) 344-2400
Fax: (636) 344-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 — (573) 727-2640

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2011011839 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2011011839 (MO)

Record details

NPI number1144502253
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 14, 2011
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in O Fallon