Ms Ellen Edith Mouser, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Raymond, Illinois. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003238668.
Provider's Profile
| Full Name | Ms Ellen Edith Mouser |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 19067 W Frontage Rd, Raymond, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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