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

Mr. Robert J Mulloy, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1528299039

Mr. Robert J Mulloy, ANP is a Nurse Practitioner in Saint Ann, Missouri. Qualified in 2009, 17 years ago. Practices with Sound Physicians of Illinois LLC, a 195-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2009

Practice location Address checks out

11063 Saint Francis Ln
Saint Ann, MO 63074-3333
Phone: (314) 680-3761
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2004018905 (MO)

Record details

NPI number1528299039
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP
Sole proprietorNo
NPI enumeratedJuly 31, 2009
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address11063 Saint Francis Ln, Saint Ann, MO 63074-3333

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Sound Physicians Of Illinois Llc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount