Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Scott R. Moose, MD

Individual provider Family Medicine Physician · NPI 1255405023

Dr. Scott R. Moose, MD is a Family Medicine Physician in Nixa, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

940 W Mount Vernon St
Nixa, MO 65714-9609
Phone: (417) 724-5200
Fax: (417) 724-5203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 113804 (MO)

Record details

NPI number1255405023
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESMay 9, 2013

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