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

Mrs. Amy Elizabeth Moran, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1114391067

Mrs. Amy Elizabeth Moran, AGPCNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
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Practice location Address checks out

10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone: (314) 525-4325
Fax: (314) 525-4365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2015040100 (MO)

Record details

NPI number1114391067
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedNovember 16, 2015
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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