MARTINA JO MOUSER APRN
NPI 1891149712
Nurse Practitioner - Family in Lexington, KY

Active since April 17, 2016PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1 SAINT JOSEPH DR, LEXINGTON, KY 40504(859) 313-1000 Get Directions Write a Review

NPPES record last updated: April 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martina Jo Mouser Aprn NPPES

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

MARTINA JO MOUSER APRN (NPI 1891149712) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3010131) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1891149712
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARTINA JO MOUSERCredential: APRN
Location Address1 SAINT JOSEPH DRLexington, KY 40504-3742
Mailing Address1 Saint Joseph DrLexington, KY 40504-3742 · (859) 313-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 17, 2016
NPI 1891149712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3010131
1 SAINT JOSEPH DR, Lexington, KY 40504

Accepted Insurance

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

Martina Jo Mouser 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.

PECOS PAC ID547551244
PECOS Enrollment IDI20160628001969
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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Chi Saint Joseph Health -Flaget Memorial Hospital

Acute Care Hospitals · Bardstown, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180025
Location4305 New Shepherdsville RoadBardstown, KY 40004 · Nelson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$62.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Medicine & Rehabilitation
1 SAINT JOSEPH DR
LEXINGTON, KY 40504
Pharmacist
1 SAINT JOSEPH DR
LEXINGTON, KY 40504
Pharmacist
1 SAINT JOSEPH DR
LEXINGTON, KY 40504
Anesthesiology
1 SAINT JOSEPH DR
LEXINGTON, KY 40504
Nurse Practitioner (Acute Care)
1 SAINT JOSEPH DR
LEXINGTON, KY 40504
Pharmacist
1 SAINT JOSEPH DR
LEXINGTON, KY 40504
Internal Medicine
1 SAINT JOSEPH DR
LEXINGTON, KY 40504
Pharmacist (Pharmacotherapy)
1 SAINT JOSEPH DR, PHARMACY SERVICES
LEXINGTON, KY 40504

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 Martina Mouser's NPI number?

The NPI number for Martina Mouser is 1891149712. It was assigned to this individual provider in the NPPES registry on April 17, 2016.

Where is Martina Mouser located?

Martina Mouser practices at 1 Saint Joseph Dr, Lexington, KY 40504. The listed phone number is (859) 313-1000.

What is Martina Mouser's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Martina Mouser enrolled in Medicare?

Yes. Martina Mouser 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.

What insurance does Martina Mouser accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Martina Mouser 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 Martina Mouser affiliated with any hospitals?

According to CMS data, Martina Mouser is affiliated with Baptist Health Hardin and Chi Saint Joseph Health -Flaget Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Martina Mouser was last updated on April 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.