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

Han Chuan Su

Individual provider Nurse Practitioner · NPI 1760352488

Han Chuan Su is a Nurse Practitioner in Moberly, Missouri. Qualified in 2025, 1 year ago. Practices with Moberly Hospital Company LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Missouri and New Mexico.

Years since qualifying
1
Licensed in
MO, NM
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1501 Union Ave
Moberly, MO 65270-9469
Phone: (660) 263-4770
Fax: (660) 263-2228
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 54471 (NM)
Nurse Practitioner Taxonomy 363L00000X · Licence 2025053499 (MO)

Record details

NPI number1760352488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2025
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address1207 Bryan Cir, Carlsbad, NM 88220-4608

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Moberly Hospital Company Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moberly