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

Mrs. Tina Marie Moe, FNP

Individual provider Family Nurse Practitioner · NPI 1912157041

Mrs. Tina Marie Moe, FNP is a Nurse Practitioner in Doniphan, Missouri. Qualified in 2008, 18 years ago. Practices with St Louis Medical Associates LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
18
Licensed in
MO
In the registry since
2008
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

109 Leroux Dr
Doniphan, MO 63935
Phone: (573) 996-2136
Fax: (573) 996-3105
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 152864 (MO)

Record details

NPI number1912157041
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 25, 2008
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice St Louis Medical Associates Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Doniphan