MICHELE LYNN MOUNCE CNP
NPI 1366819971
Nurse Practitioner - Gerontology in Peoria, IL
About Michele Lynn Mounce Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELE LYNN MOUNCE CNP (NPI 1366819971) is an individual gerontology provider in Peoria, Illinois, licensed in Illinois (209012995) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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
Michele Lynn Mounce Cnp 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
2Medicare enrollment records show Michele Mounce reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 915 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Michele Mounce's NPI number?
The NPI number for Michele Mounce is 1366819971. It was assigned to this individual provider in the NPPES registry on August 31, 2015. The provider is also known as Michele Lynn Cusack Cnp.
Where is Michele Mounce located?
Michele Mounce practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-3000.
What is Michele Mounce's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Michele Mounce enrolled in Medicare?
Yes. Michele Mounce 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 Michele Mounce's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michele Mounce reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and South Sound Inpatient Physicians PLLC (Spokane, WA). 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 Michele Mounce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michele Mounce was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Michele Lynn Mounce, CNP · NPI 1366819971
Gerontology physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since August 31, 2015.
## Identity
- **NPI:** 1366819971 (Entity type: Individual)
- **Enumerated:** August 31, 2015
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 209012995 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-3000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); South Sound Inpatient Physicians PLLC (NPI 1275785107, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366819971) · Data from the CMS NPPES public registry.