| Ms Ellen Edith Mouser, PMHNP | |
|
220 E County Rd, Jerseyville, IL 62052-3125 | |
| (618) 498-8467 | |
| (618) 639-2017 |
| Full Name | Ms Ellen Edith Mouser |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 220 E County Rd, Jerseyville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003238668 | NPI | - | NPPES |
| 201905482NP-PP | Other | OR | LICENSE |
| 2018080836 | Other | IL | ANCC PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER PMHNP-BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209011105 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jersey Community Hospital | 4587650445 | 57 |
| Jersey Community Hospital | 4587650445 | 57 |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Entity Name | Chestnut Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ellen Edith Mouser, PMHNP 390 Maple Summit Rd, Jerseyville, IL 62052-2000 Ph: (618) 498-7518 | Ms Ellen Edith Mouser, PMHNP 220 E County Rd, Jerseyville, IL 62052-3125 Ph: (618) 498-8467 |
Melissa G Kulp, MS, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E County Rd, E Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 | |
Ms. Victoria A Hargrave, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Mrs. Deborah Marie Seymour, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Tammie L Blevins, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E County Rd, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 | |
Alexandra Irene Evans, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Amber N. Wright, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E County Rd, East Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 |