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

Jeanetta Stomer

Individual provider Family Nurse Practitioner · NPI 1609319144

Jeanetta Stomer is a Nurse Practitioner in Florissant, Missouri. Qualified in 2017, 9 years ago. Practices with Agans Medical LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2016
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Practice location Address checks out

3391 N Highway 67
Florissant, MO 63033-1604
Phone: (314) 736-1146
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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 2004029626 (MO)

Record details

NPI number1609319144
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 1, 2016
Last updated in NPPESMarch 28, 2020
Certification dateMarch 28, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Agans Medical Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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