Organization Active NPI

Morningstar Neuropathy & Pain Treatment Center LLC

  • General Practice Physician
  • Saint Peters, MO
National Provider Identifier
1073184248
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MORNINGSTAR NEUROPATHY & PAIN TREATMENT CENTER LLC
Practice address
4710 Mexico Rd
Saint Peters, MO 63376-1663
Phone
(636) 244-0124
Fax
(618) 876-7850
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Morningstar, DCNPI 1063471993
Title
President
Phone
(636) 244-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4710 Mexico Rd
Saint Peters, MO 63376-1663

Mailing address

4710 Mexico Rd
Saint Peters, MO 63376-1663
Phone (636) 244-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210910000258 MO Part B Supplier - Clinic/Group Practice 3971909367 Receives reassigned benefits from 5 practitioners
Practice locations: Saint Peters, MO

National Provider Directory

National Provider Directory

Locations

4710 Mexico Rd
Saint Peters, MO 63376
Phone (636) 244-0124

4710 Mexico Rd
Ste A
Saint Peters, MO 63376

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1073184248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761663",
            "telephone_number": "636-244-0124",
            "fax_number": "636-400-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761663",
            "telephone_number": "636-244-0124",
            "fax_number": "618-876-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSTAR NEUROPATHY & PAIN TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "MORNINGSTAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-244-0124",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.