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

Mark Alan Proffer, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1063259646

Mark Alan Proffer, ACNPC-AG is a Nurse Practitioner in Cape Girardeau, Missouri. Qualified in 2023, 3 years ago. Practices with Saint Francis Medical Center, a 441-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

24 S Mount Auburn Rd
Cape Girardeau, MO 63703-4914
Phone: (573) 331-5544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2023041355 (MO)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2023041355 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2023041355 (MO)

Record details

NPI number1063259646
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJuly 11, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJuly 5, 2024
Mailing address3719 County Road 435, Jackson, MO 63755-8184

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Saint Francis Medical Center — 441 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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