JONATHAN WILLIAM MOONEY PMHNP-BC
NPI 1427603935
Nurse Practitioner - Psychiatric/Mental Health in Peoria, IL

Q: What is Jonathan Mooney's NPI number?

The NPI number for Jonathan Mooney is 1427603935. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Q: What is Jonathan Mooney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Mooney was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment

228 NE JEFFERSON AVE, PEORIA, IL 61603(309) 671-8000(309) 671-4695 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2019, Aug 2, 2019 (2 updates tracked since 2019).

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About Jonathan William Mooney Pmhnp-bc NPPES

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

JONATHAN WILLIAM MOONEY PMHNP-BC (NPI 1427603935) is an individual psychiatric/mental health provider in Peoria, Illinois, licensed in Illinois (209) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427603935

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJONATHAN WILLIAM MOONEYCredential: PMHNP-BC

Location Address228 NE JEFFERSON AVEPeoria, IL 61603-3802

Mailing Address600 Fayette StPeoria, IL 61603-3610 · (309) 671-8020 · Fax (309) 671-8007

Phone(309) 671-8000

Fax(309) 671-4695

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 2, 2019

Last NPPES UpdateAugust 21, 20192 updates tracked since enumeration

✔ NPI 1427603935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209

228 NE JEFFERSON AVE, Peoria, IL 61603

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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

Jonathan William Mooney Pmhnp-bc 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 ID2769812098

PECOS Enrollment IDI20200428001487

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.

132 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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.

Other Providers at the Same Location NPPES 15

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

DR. GEORGE KENNETH SHOTICK JR. M.D.

Family Medicine