Active NPI
Michelle Renee Nash, FNP-BC
- Family Nurse Practitioner
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2020001739
- Practice address
- 705 Grand Canyon Dr
Farmington, MO 63640-2161 - Phone
- (573) 756-8911
- Fax
- (573) 315-3824
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2020001739 | MO | Primary |
| Family Nurse Practitioner | 363LF0000X | 2018035951 | MO |
Addresses
Primary practice location
705 Grand Canyon Dr
Farmington, MO 63640-2161
Mailing address
PO Box 735378
Chicago, IL 60673-5378
Other practice location 1
1157 Maple St
Farmington, MO 63640
Phone (573) 218-9871
Other practice location 2
330 N State St
Desloge, MO 63601-3093
Phone (573) 431-4449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230329000919 | MO | Practitioner - Nurse Practitioner | 7214301415 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Missouri Mso LLC
Practice addresses (Care Compare)
1501 Charbonier Rd
Florissant, MO 63031-5308
Phone (212) 734-6621
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018035951 | MO | MD | Family Nurse Practitioner |
| 2020001739 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Karefirst Missouri PC | Current | Accepting new patients | |
| JDS Medical Services PC | Current | Accepting new patients | |
| Missouri Mso LLC | Current | Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
705 Grand Canyon Dr
Farmington, MO 63640
Phone (573) 756-2750
1501 Charbonier Rd
Florissant, MO 63031
Phone (314) 921-2700
13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259
3403 W Mount Vernon St
Springfield, MO 65802
Phone (417) 864-5600
Organizations & group practices 5
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 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1356982896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735378",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GRAND CANYON DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402161",
"telephone_number": "573-756-8911",
"fax_number": "573-315-3824"
}
],
"practiceLocations": [
{
"address_1": "1157 Maple St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "63640",
"country_code": "US",
"telephone_number": "573-218-9871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 N State St",
"address_purpose": "LOCATION",
"city": "Desloge",
"state": "MO",
"postal_code": "636013093",
"country_code": "US",
"telephone_number": "573-431-4449",
"fax_number": "573-431-2443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASH",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2020001739",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018035951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.