MS. SUSAN LEANN LEAR PMHNP
NPI 1477887032
Nurse Practitioner - Psychiatric/Mental Health in Mount Carmel, IL

Active since September 29, 2009PECOS EnrolledAccepts Medicare Assignment
60.99/100
CMS Quality Rating
1001 N MARKET ST STE 101, MOUNT CARMEL, IL 62863(618) 263-4970(618) 263-4837 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Susan Leann Lear Pmhnp NPPES

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

MS. SUSAN LEANN LEAR PMHNP (NPI 1477887032) is an individual psychiatric/mental health provider in Mount Carmel, Illinois, licensed in Illinois (209021524) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477887032
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SUSAN LEANN LEARCredential: PMHNP
Location Address1001 N MARKET ST STE 101Mount Carmel, IL 62863-1945
Mailing Address1001 N Market St Ste 101Mount Carmel, IL 62863-1945 · (618) 263-4970 · Fax (618) 263-3893
Fax(618) 263-4837
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2009
Last NPPES UpdateJune 26, 2020
NPPES CertifiedJune 26, 2020
✔ NPI 1477887032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209021524
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041.372823 (IL)
1001 N MARKET ST STE 101, Mount Carmel, IL 62863

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

Ms. Susan Leann Lear Pmhnp 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 ID6608116454
PECOS Enrollment IDI20200811000966
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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Leann Lear reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1418 COLLEGE DR
Mount Carmel, IL 62863
  • Reassigned Medicare billing, Illinois enrollment
  • 99 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 62863 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.

60.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.42
Promoting Interoperability81
Improvement Activities40
Cost17.59

Other Providers at the Same Location NPPES 6

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

Social Worker
1001 N MARKET ST STE 101
MOUNT CARMEL, IL 62863
Counselor (Mental Health)
1001 N MARKET ST STE 101
MOUNT CARMEL, IL 62863
Licensed Practical Nurse
1001 N MARKET ST STE 101
MOUNT CARMEL, IL 62863
Social Worker
1001 N MARKET ST STE 101
MOUNT CARMEL, IL 62863
Counselor
1001 N MARKET ST STE 101
MOUNT CARMEL, IL 62863
Social Worker (Clinical)
1001 N MARKET ST STE 101
MOUNT CARMEL, IL 62863

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 Susan Leann Lear's NPI number?

The NPI number for Susan Leann Lear is 1477887032. It was assigned to this individual provider in the NPPES registry on September 29, 2009.

Where is Susan Leann Lear located?

Susan Leann Lear practices at 1001 N Market St Ste 101, Mount Carmel, IL 62863. The listed phone number is (618) 263-4970.

What is Susan Leann Lear's specialty?

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

Is Susan Leann Lear enrolled in Medicare?

Yes. Susan Leann Lear 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 organization bills Medicare for Susan Leann Lear's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Leann Lear reassigns Medicare benefits to Wabash General Hospital District (Mount Carmel, IL). The 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 Susan Leann Lear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Leann Lear accept?

Health plans from Ambetter Health and Oscar Health list Susan Leann Lear 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.

When was this NPI record last updated?

The NPPES record for Susan Leann Lear was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.