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MICHELE LYNN MOUNCE CNP
NPI 1366819971
Nurse Practitioner - Gerontology in Peoria, IL

Active since August 31, 2015PECOS Enrolled
95.08/100
CMS Quality Rating
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-3000 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Dec 7, 2023 (2 updates tracked since 2023).

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.

NPPES Registry Identity

NPI1366819971
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMICHELE LYNN MOUNCECredential: CNP
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address125 Heatherview DrEast Peoria, IL 61611 · (309) 655-3000
Phone(309) 655-3000
Sole ProprietorNo
Enumeration DateAugust 31, 2015
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1366819971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209012995
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP61333948 (WA)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209.012995 (IL)
530 NE GLEN OAK AVE, Peoria, IL 61637
Open in Google Maps ↗

Other Names 1

Former Name (1)Michele Lynn Cusack Cnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Lynn Mounce Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

95.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Promoting Interoperability100
Improvement Activities40
Cost82.55

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.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 enrollment system.

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.