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MICHAEL JASON DEAN RN ANP
NPI 1831167105
Nurse Practitioner - Adult Health in O Fallon, MO

Active since March 10, 2006
1400 PRESIDENTS LANDING DR, O FALLON, MO 63366(636) 866-1293 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Jason Dean Rn Anp NPPES

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

MICHAEL JASON DEAN RN ANP (NPI 1831167105) is an individual adult health provider in O Fallon, Missouri, licensed in Missouri (2000167996) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1831167105
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMICHAEL JASON DEANCredential: RN ANP
Location Address1400 PRESIDENTS LANDING DRO Fallon, MO 63366-8475
Mailing Address1400 Presidents Landing DrO Fallon, MO 63366-8475 · (636) 866-1293
Phone(636) 866-1293
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateNovember 19, 2014
✔ NPI 1831167105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2000167996
Also ListedRegistered NurseTaxonomy 163W00000X · License 2000167996 (MO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 53-74934-022 (KS)
1400 PRESIDENTS LANDING DR, O Fallon, MO 63366
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Other Identifiers 5

Medicare UPINQ57337
Medicare ID-Type Unspecified8G1704TX
Medicaid200622300AKS
Medicare PIN068002060KS
Medicaid177840901TX

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 Michael Dean's NPI number?

The NPI number for Michael Dean is 1831167105. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Michael Dean located?

Michael Dean practices at 1400 Presidents Landing Dr, O Fallon, MO 63366. The listed phone number is (636) 866-1293.

What is Michael Dean's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Michael Dean was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.