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: 2004
NPI: 1093086985
IMPACT PHYSICIAN GROUP MISSOURI LLC
10114 KENNERLY RD
SAINT LOUIS, MO 631282183
3149482000
Source: CMS National Downloadable File, September 2026.