This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / MO
NURSE PRACTITIONER
Graduated: 2014
NPI: 1073056578
IMPACT PHYSICIAN GROUP MISSOURI LLC
12380 DEPAUL DR
BRIDGETON, MO 630442511
3144479700
Source: CMS National Downloadable File, September 2026.