Individual provider Active NPI

Nona Mungle, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Festus, MO
National Provider Identifier
1710935101
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2017011123 Issued in MO
Practice address
807 Collins Dr
Festus, MO 63028
Phone
(636) 931-4206
NPI assigned
May 5, 2006
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 090180 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2017011123 MO Primary

Addresses

Primary practice location

807 Collins Dr
Festus, MO 63028

Mailing address

530 N Middle St
Farmington, MO 63640-1570
Phone (573) 756-8660

Other practice location 1

530 N. Middle St.
Farmington, MO 63640-1570
Phone (573) 756-8660

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
I20040708000373 MO Practitioner - Nurse Practitioner 0941288823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mineral Area Psychiatric Services LLCGroup PAC ID 3072880962, 10 clinicians
Advanced Psychiatric Services IncGroup PAC ID 8820074297, 8 clinicians

Practice addresses (Care Compare)

203 S Washington St
Farmington, MO 63640-1836
Phone (573) 330-6468

807 Collins Dr
Festus, MO 63028-2346
Phone (636) 931-4206

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017011123MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Services Inc CurrentSince Jun 19, 2017 Accepting new patients
Mineral Area Psychiatric Services LLC CurrentSince Aug 1, 2025 Accepting new patients
SSM Medical Group Inc. CurrentSince Aug 22, 2016 Accepting new patients
SSM Medical Group, Inc. CurrentSince Aug 22, 2016 Accepting new patients
Community Health Care Associates, Inc Past Accepting new patients
Advanced Psychiatric Services Past Accepting new patients
Community Health Care Associates, Inc Past Accepting new patients

Locations

1718 Catlin Dr
Barnhart, MO 63012
Phone (314) 687-2723

917 Chesterfield Pkwy E
Chesterfield, MO 63017
Phone (314) 687-2719

807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206

920 N Main St
O Fallon, MO 63366
Phone (314) 687-2731

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1710935101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MIDDLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401570",
            "telephone_number": "573-756-8660",
            "fax_number": "573-756-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 COLLINS DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-931-4206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 N. Middle St.",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401570",
            "country_code": "US",
            "telephone_number": "573-756-8660",
            "fax_number": "573-756-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGLE",
        "first_name": "NONA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "090180",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2017011123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.