Andrea L Mouldon, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2010016423 Issued in MO

Practice address

3737 N Kingshighway Blvd
Ste 209
Saint Louis, MO 63115-1736

Phone

(314) 261-5250

Fax

(314) 261-4567

NPI assigned

Mar 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wuca-Nash Pediatrics, LLC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1164882775
  Medicare reassignment NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1942508783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412039",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742039",
            "telephone_number": "314-261-5250",
            "fax_number": "314-261-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N KINGSHIGHWAY BLVD",
            "address_2": "STE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151736",
            "telephone_number": "314-261-5250",
            "fax_number": "314-261-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULDON",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2010016423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429600703",
            "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": "3737 N Kingshighway Blvd",
            "address_2": "STE 209",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631151736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keirstin A Mott, PA-C
• Maria T Motta
• Lisa Marie Mottola Ernst, LCSW
• Danny Mou, MD
• Kathleen Moulder
• Andrew Moulton, MD
• Mound City Cardiovascular Consultants, Inc.
• Mound City Inpatient Services, LLC
• Alexis Lea Mount, FNP-C
• Lauren Elizabeth Mountjoy, NP

• Pediatric Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.