Individual provider Active NPI

Faisal Matar

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1700423076
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019042838 Issued in MO
Practice address
111 Mexico CT
Saint Peters, MO 63376-5102
Phone
(844) 853-8937
NPI assigned
Dec 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019042838 MO Primary

Addresses

Primary practice location

111 Mexico CT
Saint Peters, MO 63376-5102

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221000202 MO Practitioner - Nurse Practitioner 7810324464 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Hills Healthcare LLCGroup PAC ID 7719897529, 17 clinicians

Practice addresses (Care Compare)

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Phone (636) 441-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019042838MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Hills Healthcare, LLC CurrentSince Oct 1, 2024 Accepting new patients
Serenity Health LLC CurrentSince Jul 1, 2022 Accepting new patients
Axis Psychiatric Services PC Psychiatric/Mental Health Current Accepting new patients
Compass Health, Inc CurrentSince Apr 8, 2024 Accepting new patients
Compass Health, Inc CurrentSince Apr 8, 2024 Accepting new patients
St. Louis Internal Medicine Inc PastSince Jul 1, 2022 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1800 Community
Ste 350
Clinton, MO 64735

102 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 332-8318

5000 Cedar Plaza Pkwy
Ste 350
Saint Louis, MO 63128
Phone (314) 843-4333

4905 Mexico Rd
Ste 300
Saint Peters, MO 63376
Phone (636) 928-5109

4905 Mexico Rd
Ste 400
Saint Peters, MO 63376
Phone (314) 860-9979

111 Mexico Ct
Saint Peters, MO 63376
Phone (636) 288-1077

5000 Cedar Plaza Pkwy
Ste 300
Sappington, MO 63128
Phone (314) 647-9797

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304
Phone (636) 441-7300

1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1700423076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEXICO CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765102",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAR",
        "first_name": "FAISAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019042838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.