Carly Newton, FNP-C
Nurse Practitioner, Adult Health in Chesterfield, MO. Individual provider (NPI-1).
NPI number1124456736
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1124456736
- Entity type
- Individual (NPI-1)
- Name
- Carly Newton
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2013
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 209019723 | IL | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 2014001970 | MO |
Other names
- Carly Gagnon (Former Name)
Practice location
14805 North Outer 40 Rd Ste 320Chesterfield, MO 63017-6060
Phone 636-536-0183 · Fax 636-536-0526
Mailing address
3785 Waterloo RdWaterloo, IL 62298-4409
Phone 618-409-9900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 44 Adult Health Nurse Practitioner providers in Chesterfield · All 2,881 providers in Chesterfield
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