GINNY MENSE FNP-C
NPI 1043816374
Nurse Practitioner - Family in Belleville, IL
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Ginny Mense reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Belleville, IL 62226
- Reassigned Medicare billing, Illinois enrollment
- 53 clinicians in this Medicare group
Granite City, IL 62040
- Reassigned Medicare billing, Illinois enrollment
- 54 clinicians in this Medicare group
Waterloo, IL 62298
- Reassigned Medicare billing, Illinois enrollment
- 51 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- 228 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MOPhysician 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.
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.
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
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.
Which organizations bill Medicare for Ginny Mense's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ginny Mense reassigns Medicare benefits to 5 organizations: Belleville Urgent Care Walk-In Clinic (Belleville, IL), Granite City Urgent Care Walk-In Clinic (Granite City, IL), Waterloo Urgent Care Walk In Clinic Company (Waterloo, IL), Mercy Clinic East Communities (Saint Louis, MO) and Alton Urgent Care Walk In Clinic Company (Alton, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ginny Mense's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ginny Mense accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 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.
# Ginny Mense, FNP-C · NPI 1043816374
Family physician in Belleville, Illinois. Individual provider, active in the CMS NPPES registry since December 10, 2020.
## Identity
- **NPI:** 1043816374 (Entity type: Individual)
- **Enumerated:** December 10, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209022437 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4600 MEMORIAL DR STE 200, Belleville, IL 62226-5363
- **Phone:** (618) 233-2220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Belleville Urgent Care Walk-In Clinic (NPI 1225694946, Belleville, IL); Granite City Urgent Care Walk-In Clinic (NPI 1659861953, Granite City, IL); Waterloo Urgent Care Walk In Clinic Company (NPI 1508471418, Waterloo, IL); Mercy Clinic East Communities (NPI 1720635329, Saint Louis, MO); Alton Urgent Care Walk In Clinic Company (NPI 1013521343, Alton, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1043816374) · Data from the CMS NPPES public registry.