GINNY MENSE FNP-C
NPI 1043816374
Nurse Practitioner - Family in Belleville, IL

Active since December 10, 2020PECOS EnrolledAccepts Medicare Assignment
4600 MEMORIAL DR STE 200, BELLEVILLE, IL 62226(618) 233-2220 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Dec 16, 2021, Dec 10, 2020 (3 updates tracked since 2020).

About Ginny Mense Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINNY MENSE FNP-C (NPI 1043816374) is an individual family provider in Belleville, Illinois, licensed in Illinois (209022437) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Granite City.

NPPES Registry Identity

NPI1043816374
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGINNY MENSECredential: FNP-C
Location Address4600 MEMORIAL DR STE 200Belleville, IL 62226-5363
Mailing Address4600 Memorial Dr Ste 200Belleville, IL 62226-5363 · (618) 233-2220
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 10, 2020
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
NPI 1043816374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209022437
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209022437 (IL)
4600 MEMORIAL DR STE 200, Belleville, IL 62226

Secondary Practice Location 1

Location 12861 Madison AveGranite City, IL 62040-3614 · Phone (618) 709-7723 · Fax (618) 709-7706

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ginny Mense Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395159461
PECOS Enrollment IDI20250813002412
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Anesthesiology (Critical Care Medicine)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Internal Medicine (Pulmonary Disease)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Nurse Practitioner
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Internal Medicine (Pulmonary Disease)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Internal Medicine (Pulmonary Disease)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Nurse Practitioner (Adult Health)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Nurse Practitioner (Family)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ginny Mense's NPI number?

The NPI number for Ginny Mense is 1043816374. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Ginny Mense located?

Ginny Mense practices at 4600 Memorial Dr Ste 200, Belleville, IL 62226. The listed phone number is (618) 233-2220.

What is Ginny Mense's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ginny Mense enrolled in Medicare?

Yes. Ginny Mense is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ginny Mense accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Ginny Mense as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ginny Mense affiliated with any hospitals?

According to CMS data, Ginny Mense is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Ginny Mense was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.