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

Zacharias Alan Dane, FNP-C

Individual provider Nurse Practitioner · NPI 1124758495

Zacharias Alan Dane, FNP-C is a Nurse Practitioner in Farmington, Missouri. Qualified in 2022, 4 years ago. Practices with Midwest Health Group, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

555 W Pine St
Farmington, MO 63640-1439
Phone: (573) 747-1510
Fax: (573) 747-1512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022022676 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence F06220239 (MO)

Record details

NPI number1124758495
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Midwest Health Group, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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