GLEN A MOHAN CFNP
NPI 1457303968
Nurse Practitioner - Family in Farmington, MO

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
69.24/100
CMS Quality Rating
501 W PINE ST, FARMINGTON, MO 63640(573) 756-8888 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2025, Oct 17, 2017 (2 updates tracked since 2017).

About Glen A Mohan Cfnp NPPES

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

GLEN A MOHAN CFNP (NPI 1457303968) is an individual family provider in Farmington, Missouri, licensed in Missouri (142519) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1457303968
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGLEN A MOHANCredential: CFNP
Location Address501 W PINE STFarmington, MO 63640-1439
Mailing Address501 W Pine StFarmington, MO 63640-1439 · (573) 756-8888 · Fax (573) 701-9547
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1457303968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 142519
501 W PINE ST, Farmington, MO 63640

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Glen A Mohan Cfnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062437247
PECOS Enrollment IDI20051006000578
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,205 services40 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
832 services42 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
762 services19 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
645 services17 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
236 services177 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
221 services166 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Washington County Memorial Hospital

Critical Access Hospitals · Potosi, MO
OwnershipGovernment - Local
CMS Certification Number261308
Location300 Health WayPotosi, MO 63664 · Washington County
Emergency services

Ste Genevieve County Memorial Hospital

Critical Access Hospitals · Sainte Genevieve, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261330
Location800 Ste Genevieve Drive, PO Box 468Sainte Genevieve, MO 63670 · Ste. Genevieve County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.12
Promoting Interoperability92
Improvement Activities40
Cost54.02

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers31 claims31 services$38.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist-Hearing Aid Fitter
501 W PINE ST
FARMINGTON, MO 63640
Clinical Nurse Specialist (Family Health)
501 W PINE ST
FARMINGTON, MO 63640
Otolaryngology
501 W PINE ST
FARMINGTON, MO 63640
Otolaryngology
501 W PINE ST
FARMINGTON, MO 63640
Audiologist-Hearing Aid Fitter
501 W PINE ST
FARMINGTON, MO 63640
Hearing Instrument Specialist
501 W PINE ST
FARMINGTON, MO 63640

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 Glen Mohan's NPI number?

The NPI number for Glen Mohan is 1457303968. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Glen Mohan located?

Glen Mohan practices at 501 W Pine St, Farmington, MO 63640. The listed phone number is (573) 756-8888.

What is Glen Mohan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Glen Mohan enrolled in Medicare?

Yes. Glen Mohan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Glen Mohan accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Glen Mohan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Glen Mohan affiliated with any hospitals?

According to CMS data, Glen Mohan is affiliated with Mercy Hospital Jefferson, Washington County Memorial Hospital and Ste Genevieve County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Glen Mohan was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.