JONATHAN WILLIAM MOONEY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1427603935

JONATHAN WILLIAM MOONEY (PMHNP-BC) is a healthcare provider. based in Peoria, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 209 (IL). The NPI Number for JONATHAN WILLIAM MOONEY (PMHNP-BC) is 1427603935

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN WILLIAM MOONEY (PMHNP-BC)
NPI
1427603935
Phone
(309) 671-8020
Address
600 FAYETTE ST
Enumeration Date
2 August 2019
Last Update Date
21 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096718000
Graduation Year
2019 (7 years ago)
PAC ID
2769812098
Group Practice PAC ID
6901896968
Professional Enrollment ID
I20200428001487
Address ID
IL616033802PE228XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for JONATHAN WILLIAM MOONEY (PMHNP-BC)

  • 600, Fayette Street, Peoria, Peoria County, Illinois, 61603, United States

    PEORIA, IL 616033610

    Phone: (309) 671-8020

    Fax: (309) 671-8007

    Type: Mailing

  • Human Service Center, 228, Northeast Jefferson Avenue, Peoria, Peoria County, Illinois, 61602, United States

    PEORIA, IL 616033802

    Phone: (309) 671-8000

    Fax: (309) 671-4695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $3,030.

Total Amount is formed as General ($3,030) + Research ($0) + Ownership ($0) = $3,030.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($627).

Total Amount

$3,030

General + Research + Ownership

Payments

125

Total payment records

General Amount

$3,030

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-04-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200428001487INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10641$0
View full utilization report →

Insurance plans in this area (ZIP 61603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901896968View full group profile

Reviews

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Frequently asked questions

Where can patients find JONATHAN WILLIAM MOONEY (PMHNP-BC)'s NPI?
You can confirm JONATHAN WILLIAM MOONEY (PMHNP-BC) with NPI 1427603935; it appears in the national provider directory.
Is JONATHAN WILLIAM MOONEY (PMHNP-BC) currently active in the NPI registry?
CMS-published data lists JONATHAN WILLIAM MOONEY (PMHNP-BC) as an active registrant.
What does JONATHAN WILLIAM MOONEY (PMHNP-BC) treat or focus on?
Patients typically see JONATHAN WILLIAM MOONEY (PMHNP-BC) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place JONATHAN WILLIAM MOONEY (PMHNP-BC)?
The snapshot lists Peoria, Illinois for JONATHAN WILLIAM MOONEY (PMHNP-BC); download NPPES for the complete set.
How can I contact JONATHAN WILLIAM MOONEY (PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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