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

Maureen A Poplar

Individual provider Nurse Practitioner · NPI 1124620893

Maureen A Poplar is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with Mercy Clinic Heart and Vascular LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
13
Licensed in
MO, WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

11125 Dunn Rd Ste 204
Saint Louis, MO 63136-6188
Phone: (314) 839-5125
Fax: (314) 839-5351
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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 2020041026 (MO)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 226456-30 (WI)

Record details

NPI number1124620893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2020
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mercy Clinic Heart And Vascular Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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