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

Philip Holtgrave, FNP

Individual provider Nurse Practitioner · NPI 1689846693

Philip Holtgrave, FNP is a Nurse Practitioner in Wentzville, Missouri. Graduated from Southern Illinois University School of Medicine in 2004, 22 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
22
Trained at
Southern Illinois University School of Medicine
Licensed in
IL, MO
In the registry since
2008
Specialties on file
3
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

1993 Wentzville Pkwy
Wentzville, MO 63385-3424
Phone: (314) 687-2732
Show map & directions

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

Additional practice locations (1)

  • 2220 Lemp Ave, Saint Louis, MO 63104-2700 — (314) 814-8688

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 145838 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 209005604 (IL)
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X · Licence 145838 (MO)

Record details

NPI number1689846693
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 31, 2008
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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