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MRS. ANDREA L MOULDON PNP
NPI 1942508783
Nurse Practitioner - Pediatrics in Saint Louis, MO

Active since March 02, 2011PECOS Enrolled
3737 N KINGSHIGHWAY BLVD, STE 209, SAINT LOUIS, MO 63115(314) 261-5250(314) 261-4567 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Nov 29, 2021, Jun 13, 2019 and 1 more (4 updates tracked since 2016).

About Mrs. Andrea L Mouldon Pnp NPPES

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

MRS. ANDREA L MOULDON PNP (NPI 1942508783) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2010016423) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942508783
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. ANDREA L MOULDONCredential: PNP
Location Address3737 N KINGSHIGHWAY BLVD, STE 209Saint Louis, MO 63115-1736
Mailing AddressPo Box 7412039Chicago, IL 60674-2039 · (314) 261-5250 · Fax (314) 261-4567
Phone(314) 261-5250
Fax(314) 261-4567
Sole ProprietorNo
Enumeration DateMarch 2, 2011
Last NPPES UpdateApril 18, 20254 updates tracked since enumeration
✔ NPI 1942508783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2010016423
3737 N KINGSHIGHWAY BLVD, Saint Louis, MO 63115
Open in Google Maps ↗

Other Identifiers 1

Medicaid429600703MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea L Mouldon Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63115 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 9

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

WUCA-NASH PEDIATRICS, LLC
Clinic/Center (Multi-Specialty)
3737 N KINGSHIGHWAY BLVD, SUITE 209
SAINT LOUIS, MO 63115
St. Louis City (314) 261-5250
MS. DIANNE R SCHMIDT PNP
Nurse Practitioner (Pediatrics)
3737 N KINGSHIGHWAY BLVD, STE 209
SAINT LOUIS, MO 63115
St. Louis City (314) 261-5250
THOMAS DENTAL OFFICE PC
Dentist (General Practice)
3737 N KINGSHIGHWAY BLVD, SUITE 108
SAINT LOUIS, MO 63115
St. Louis City (314) 389-7722
DR. ALISON CAROLE NASH MD
Pediatrics
3737 N KINGSHIGHWAY BLVD, STE 209
SAINT LOUIS, MO 63115
St. Louis City (314) 261-5250
TAMIKA L RENFROE
Home Health Aide
3737 N KINGSHIGHWAY BLVD, SUITE 112
SAINT LOUIS, MO 63115
St. Louis City (314) 339-5872
IMRAN PHARMACY
Pharmacy (Community/Retail Pharmacy)
3737 N KINGSHIGHWAY BLVD, STE 100
SAINT LOUIS, MO 63115
St. Louis City (314) 381-9394
ST.LOUIS PEDIATRIC PRACTITIONERS,INC.
Pediatrics
3737 N KINGSHIGHWAY BLVD, SUITE 210
SAINT LOUIS, MO 63115
St. Louis City (314) 261-5250
TENDER TOUCH CHIROPRACTIC LLC
Chiropractor
3737 N KINGSHIGHWAY BLVD, SUITE 208
SAINT LOUIS, MO 63115
St. Louis City (314) 300-8759

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 Andrea Mouldon's NPI number?

The NPI number for Andrea Mouldon is 1942508783. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Where is Andrea Mouldon located?

Andrea Mouldon practices at 3737 N Kingshighway Blvd Ste 209, Saint Louis, MO 63115. The listed phone number is (314) 261-5250.

What is Andrea Mouldon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Andrea Mouldon enrolled in Medicare?

Yes. Andrea Mouldon is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Mouldon accept?

Health plans from Cox HealthPlans list Andrea Mouldon 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.

When was this NPI record last updated?

The NPPES record for Andrea Mouldon was last updated on April 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.