MELANIE MENSING APRN
NPI 1386452290
Nurse Practitioner - Family in Shiloh, IL
About Melanie Mensing Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANIE MENSING APRN (NPI 1386452290) is an individual family provider in Shiloh, Illinois, licensed in Illinois (209032686) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Melanie Mensing Aprn 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
3Medicare enrollment records show Melanie Mensing reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shiloh, IL 62269
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: English And Mclaughlin, PC
- 10 clinicians in this Medicare group
New Baden, IL 62265
- Reassigned Medicare billing, Illinois enrollment
- 54 clinicians in this Medicare group
Pana, IL 62557
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Hshs Medical Group Inc
- 317 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Hospital
Acute Care Hospitals · Breese, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62269 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Melanie Mensing's NPI number?
The NPI number for Melanie Mensing is 1386452290. It was assigned to this individual provider in the NPPES registry on December 23, 2024.
Where is Melanie Mensing located?
Melanie Mensing practices at 1167 Fortune Blvd, Shiloh, IL 62269. The listed phone number is (618) 207-6900.
What is Melanie Mensing's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melanie Mensing enrolled in Medicare?
Yes. Melanie Mensing 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 Melanie Mensing's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Mensing reassigns Medicare benefits to 3 organizations: English And Mclaughlin, P.C. (Shiloh, IL), St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde (New Baden, IL) and Sjl Health Systems Inc (Pana, 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 Melanie Mensing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melanie Mensing accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Melanie Mensing 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 Melanie Mensing affiliated with any hospitals?
According to CMS data, Melanie Mensing is affiliated with St Josephs Hospital.
When was this NPI record last updated?
The NPPES record for Melanie Mensing was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Melanie Mensing, APRN · NPI 1386452290
Family physician in Shiloh, Illinois. Individual provider, active in the CMS NPPES registry since December 23, 2024.
## Identity
- **NPI:** 1386452290 (Entity type: Individual)
- **Enumerated:** December 23, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209032686 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1167 FORTUNE BLVD, Shiloh, IL 62269-7377
- **Phone:** (618) 207-6900 · **Fax:** (618) 207-6901
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): English And Mclaughlin, P.C. (NPI 1780314781, Shiloh, IL); St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde (NPI 1821486085, New Baden, IL); Sjl Health Systems Inc (NPI 1215037353, Pana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386452290) · Data from the CMS NPPES public registry.