Ms Ellen Edith Mouser, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Raymond, Illinois. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jersey Community Hospital, Jersey Community Hospital and her current practice location is
19067 W Frontage Rd, Raymond, Illinois. You can reach out to her office (for appointments etc.) via phone at
(866) 309-1160.
Ms Ellen Edith Mouser is licensed to practice in Illinois (license number 209011105) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003238668.
Provider's Profile
| Full Name | Ms Ellen Edith Mouser |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 14 Years |
|---|
| Location | 19067 W Frontage Rd, Raymond, 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. |
|---|
Medical Education and Training:
- Ms Ellen Edith Mouser graduated from nursing school in 2012
NPI Data:
- NPI Number: 1003238668
- Provider Enumeration Date: 01/15/2014
- Last Update Date: 01/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 9436374535
- Enrollment ID: I20140703001205
Medical Identifiers
Medical identifiers for Ms Ellen Edith Mouser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003238668 | NPI | - | NPPES |
| 201905482NP-PP | Other | OR | LICENSE |
| 2018080836 | Other | IL | ANCC PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER PMHNP-BC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209011105 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jersey Community Hospital | 4587650445 | 57 |
| Jersey Community Hospital | 4587650445 | 57 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Ellen Edith Mouser allows following entities to bill medicare on her behalf.
| 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 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ellen Edith Mouser is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Ellen Edith Mouser, PMHNP
19067 W Frontage Rd,
Raymond, IL 62560-5053
Ph: (866) 309-1160 | Ms Ellen Edith Mouser, PMHNP
19067 W Frontage Rd,
Raymond, IL 62560-5053
Ph: (866) 309-1160 |
Reviews and Comments