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

Mr. Nathan Moore, APRN-C

Individual provider Family Nurse Practitioner · NPI 1154846442

Mr. Nathan Moore, APRN-C is a Nurse Practitioner in Creve Coeur, Missouri. Qualified in 2017, 9 years ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida and Missouri.

Years since qualifying
9
Licensed in
FL, MO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11560 Olive Blvd
Creve Coeur, MO 63141-7111
Phone: (866) 389-2727
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Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (4)

  • 12899 Walsingham Rd, Largo, FL 33774-3537 — (727) 596-9490
  • 4740 Rowan Rd, New Port Richey, FL 34653-5601 — (727) 372-8682
  • 2128 34th St S, St Petersburg, FL 33711-3224 — (727) 767-0940
  • 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 — (314) 892-8352

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2021013225 (MO)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence ARNP9367810 (FL)

Record details

NPI number1154846442
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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 Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Creve Coeur