Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ASHLEY FAGAN PMHNP-C
NPI 1134036015
Nurse Practitioner - Psychiatric/Mental Health in Lake Saint Louis, MO

Active since August 26, 2026
1328 FLINTSHIRE LN, LAKE SAINT LOUIS, MO 63367(573) 768-6345 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Aug 26, 2026 (2 updates tracked since 2026).

About Ashley Fagan Pmhnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY FAGAN PMHNP-C (NPI 1134036015) is an individual psychiatric/mental health provider in Lake Saint Louis, Missouri, licensed in Missouri (2026052822) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1134036015
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameASHLEY FAGANCredential: PMHNP-C
Location Address1328 FLINTSHIRE LNLake Saint Louis, MO 63367-1949
Mailing Address1328 Flintshire LnLake Saint Louis, MO 63367-1949 · (573) 768-6345
Sole ProprietorNo
Enumeration DateAugust 26, 2026
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1134036015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2026052822
1328 FLINTSHIRE LN, Lake Saint Louis, MO 63367

Other Names 1

Former Name (1)Ashley Moll Rn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Fagan's NPI number?

The NPI number for Ashley Fagan is 1134036015. It was assigned to this individual provider in the NPPES registry on August 26, 2026. The provider is also known as Ashley Moll Rn.

Where is Ashley Fagan located?

Ashley Fagan practices at 1328 Flintshire Ln, Lake Saint Louis, MO 63367. The listed phone number is (573) 768-6345.

What is Ashley Fagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ashley Fagan was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.