OrganizationActive
University of Missouri St. Louis
NPI 1104047141 · Family Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1104047141
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nancy Magnuson, Asst. Vice Provost Student Affairs(314) 516-5671
- License
- 134958 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 University Blvd
Millenium Student Center 131
Saint Louis, MO 63121-4400
Phone: (314) 516-5671
Street-level locationGet directions
Mailing address
1 University Blvd
Saint Louis, MO 63121-4400
Other names (DBA / former)
- Other name
- University Health Services
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.