GLEN A MOHAN (CFNP) – Family Nurse Practitioner, NPI 1457303968
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for GLEN A MOHAN (CFNP)
1101 Weber Rd
Suite 302
Farmington, MO 636403352
Phone: (573) 756-5787
Fax: (573) 756-4206
Type: Location
501 W PINE ST
FARMINGTON, MO 636401439
Phone: (573) 756-8888
Type: Location
501, West Pine Street, Farmington, St. Francois County, Missouri, 63640, United States
FARMINGTON, MO 636401439
Phone: (573) 756-8888
Fax: (573) 701-9547
Type: Mailing
1101, Weber Road, Farmington, Saint Francois County, Missouri, 63640, United States
SUITE 302
FARMINGTON, MO 636403352
Phone: (573) 756-5787
Fax: (573) 756-4206
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $622.
Total Amount is formed as General ($622) + Research ($0) + Ownership ($0) = $622.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: GENZYME CORPORATION ($168).
Total Amount
$622
General + Research + Ownership
Payments
26
Total payment records
General Amount
$622
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $168 |
| Regeneron Healthcare Solutions, Inc. | $133 |
| Optinose US, Inc. | $124 |
| GlaxoSmithKline, LLC. | $102 |
| Smith+Nephew, Inc. | $39 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051006000578 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,765 | 39 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 1,522 | 39 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,067 | 40 | $0 |
| 95117 | Professional service for multiple injections of allergen | 967 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 245 | 194 | $0 |
Insurance plans in this area (ZIP 63640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| N E U R O S U R G E R Y | MO | |
| Physician Assistant | IL | |
| Physician Assistant | OK | |
| N E U R O S U R G E R Y | MO | |
| - | MO | |
| Qualified Audiologist | MO | |
| Nurse Practitioner | MO | |
| U R O L O G Y | MO | |
| Otolaryngology, Plastic And Reconstructive Surgery | MO |
Reviews
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