LANDON MOURITSEN
NPI 1720592595
Nurse Anesthetist, Certified Registered in Sterling, IL
About Landon Mouritsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LANDON MOURITSEN (NPI 1720592595) is an individual nurse anesthetist, certified registered in Sterling, Illinois, licensed in California (950001442) and active in the NPI registry since November 2017. He is affiliated with Saint Alphonsus Regional Medical Center and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Landon Mouritsen 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
8Medicare enrollment records show Landon Mouritsen reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83706
- Reassigned Medicare billing, Idaho enrollment
- 188 clinicians in this Medicare group
Meridian, ID 83642
- Reassigned Medicare billing, Idaho enrollment
- 25 clinicians in this Medicare group
Caldwell, ID 83605
- Reassigned Medicare billing, Idaho enrollment
- 28 clinicians in this Medicare group
Ontario, OR 97914
- Reassigned Medicare billing, Oregon enrollment
- 8 clinicians in this Medicare group
Winnemucca, NV 89445
- Reassigned Medicare billing, Nevada enrollment
- 45 clinicians in this Medicare group
Burns, OR 97720
- Reassigned Medicare billing, Oregon enrollment
- 81 clinicians in this Medicare group
Fallon, NV 89406
- Reassigned Medicare billing, Nevada enrollment
- Medicare enrollment name: Lifelinc Anesthesia Nevada PC
- 13 clinicians in this Medicare group
Carson City, NV 89703
- Reassigned Medicare billing, Nevada enrollment
- 90 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDHumboldt General Hospital
Critical Access Hospitals · Winnemucca, NVSaint Alphonsus Medical Center - Ontario
Acute Care Hospitals · Ontario, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61081 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 17
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 Landon Mouritsen's NPI number?
The NPI number for Landon Mouritsen is 1720592595. It was assigned to this individual provider in the NPPES registry on November 30, 2017.
Where is Landon Mouritsen located?
Landon Mouritsen practices at 100 E Le Fevre Rd, Sterling, IL 61081. The listed phone number is (815) 625-0400.
What is Landon Mouritsen's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Landon Mouritsen enrolled in Medicare?
Yes. Landon Mouritsen 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 Landon Mouritsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Landon Mouritsen reassigns Medicare benefits to 8 organizations: St Alphonsus Professional Medical Services LLC (Boise, ID), Intermountain Ambulatory Anesthesia PLLC (Meridian, ID), Anesthesia Consulting Partners Idaho, PC (Caldwell, ID), Treasure Valley Anesthesia PC (Ontario, OR), Humboldt General Hospital (Winnemucca, NV) and 3 more organizations, listed in the Medicare section above. 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 Landon Mouritsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Landon Mouritsen accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Moda Health Plan, Inc. list Landon Mouritsen 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 Landon Mouritsen affiliated with any hospitals?
According to CMS data, Landon Mouritsen is affiliated with Saint Alphonsus Regional Medical Center, Humboldt General Hospital and Saint Alphonsus Medical Center - Ontario.
When was this NPI record last updated?
The NPPES record for Landon Mouritsen was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Landon Mouritsen · NPI 1720592595
Nurse Anesthetist, Certified Registered physician in Sterling, Illinois. Individual provider, active in the CMS NPPES registry since November 30, 2017.
## Identity
- **NPI:** 1720592595 (Entity type: Individual)
- **Enumerated:** November 30, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 950001442 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E LE FEVRE RD, Sterling, IL 61081-1278
- **Phone:** (815) 625-0400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): St Alphonsus Professional Medical Services LLC (NPI 1386677524, Boise, ID); Intermountain Ambulatory Anesthesia PLLC (NPI 1073546289, Meridian, ID); Anesthesia Consulting Partners Idaho, PC (NPI 1568241362, Caldwell, ID); Treasure Valley Anesthesia PC (NPI 1215992003, Ontario, OR); Humboldt General Hospital (NPI 1750498010, Winnemucca, NV); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720592595) · Data from the CMS NPPES public registry.