Individual provider Active NPI

Zachary Wade Orr, AGNP-C

  • Gerontology Nurse Practitioner
  • Eureka, MO
National Provider Identifier
1184221160
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2020030165 Issued in MO
Practice address
300 Forby Rd
Eureka, MO 63025-2321
Phone
(636) 938-5151
Fax
(636) 938-5266
NPI assigned
Oct 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2020030165 MO Primary

Addresses

Primary practice location

300 Forby Rd
Eureka, MO 63025-2321

Mailing address

PO Box 270653
Saint Louis, MO 63127-0653
Phone (217) 257-8677

Other practice location 1

1201 Garden Plaza Dr
Florissant, MO 63033-2230
Phone (314) 831-3752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210330001148 MO Practitioner - Nurse Practitioner 7517374010 Reassigns benefits to 4 organizations
I20230607002471 IL Practitioner - Nurse Practitioner 7517374010 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Missouri IncGroup PAC ID 5597925099, 30 clinicians
Sreenu Ada MD PCGroup PAC ID 3274533484, 3 clinicians

Practice addresses (Care Compare)

12303 Depaul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

300 Forby Rd
Eureka, MO 63025-2321
Phone (636) 938-5151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020030165MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sreenu Ada,MD,PC CurrentSince Mar 1, 2026 Accepting new patients
Ahs Il Medical Group LLC CurrentSince Nov 20, 2023 Accepting new patients
Emergency Services Midwest SC Nurse Practitioner CurrentSince Feb 15, 2026 Accepting new patients
Trinity Medical Staffing LLC CurrentSince Jun 29, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 19, 2021 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Nurse Practitioner CurrentSince Feb 15, 2026 Accepting new patients
SLH Physicians LLC CurrentSince Mar 1, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 19, 2021 Accepting new patients
SSM Medical Group Inc. Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

300 Forby Rd
Eureka, MO 63025
Phone (314) 766-2066

1201 Garden Plaza Dr
Florissant, MO 63033
Phone (314) 831-3752

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: zorr@yourcarecommunity.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1184221160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270653",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631270653",
            "telephone_number": "217-257-8677",
            "fax_number": "636-333-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FORBY RD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252321",
            "telephone_number": "636-938-5151",
            "fax_number": "636-938-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Garden Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630332230",
            "country_code": "US",
            "telephone_number": "314-831-3752",
            "fax_number": "636-333-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "ZACHARY",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2020030165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

Verify at the official NPI Registry.