Active NPI
Karen Kay Moore, FNP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018034587
- Practice address
- 5201 Mid America PLZ
Div Im Cardiology, Ste 2300
Saint Louis, MO 63129-0002 - Phone
- (314) 362-1291
- Fax
- (314) 286-1949
- NPI assigned
- Dec 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018034587 | MO | Primary |
Addresses
Primary practice location
5201 Mid America PLZ
Div Im Cardiology, Ste 2300
Saint Louis, MO 63129-0002
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420064800 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018034587 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Il Medical Group LLC | Current | Accepting new patients | |
| Mercy Hospital Jefferson | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Jefferson | Current | Accepting new patients | |
| Washington University | Past | Accepting new patients | |
| Emergency Physicians of St. Luke'S, LLC | Past | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
1000 Eleven S
Ste 1A
Columbia, IL 62236
Phone (618) 281-8400
4273 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-2297
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 110
Rolla, MO 65401
Phone (573) 458-6300
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
4460 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 843-7557
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
555 Washington Sq
Washington, MO 63090
Phone (636) 390-1777
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Clinic/Center
- Granite City, IL
- NPI 1659098101
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1992746903
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Home Health Agency
- Festus, MO
- NPI 1396748588
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1407327588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-362-1291",
"fax_number": "314-286-1949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 MID AMERICA PLZ",
"address_2": "DIV IM CARDIOLOGY, STE 2300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631290002",
"telephone_number": "314-362-1291",
"fax_number": "314-286-1949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KAREN",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2025-04-17",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018034587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420064800",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "5201 Mid America Plz",
"address_2": "Div IM Cardiology, Ste 2300",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631290002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.