MS. ELLEN EDITH MOUSER (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003238668
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. ELLEN EDITH MOUSER (PMHNP)
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 620522000
Phone: (618) 498-7518
Fax: (618) 498-3052
Type: Mailing
220 E COUNTY RD
JERSEYVILLE, IL 620523125
Phone: (618) 498-8467
Fax: (618) 639-2017
Type: Location
700 S J ST
LAKEVIEW, OR 976301623
Phone: (541) 947-3366
Fax: (541) 947-4404
Type: Mailing
19067 W FRONTAGE RD
RAYMOND, IL 625605053
Phone: (866) 309-1160
Fax: (217) 475-5055
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $606.
Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($154).
Total Amount
$606
General + Research + Ownership
Payments
31
Total payment records
General Amount
$606
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $154 |
| Janssen Pharmaceuticals, Inc | $122 |
| ITI, Inc. | $56 |
| Lilly USA, LLC | $46 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $44 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140703001205 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OR | |
| General Surgery, Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| C H I R O P R A C T I C | OR | |
| Nurse Practitioner | OR | |
| - | CA | |
| - | OR | |
| Family Practice | NM |
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