Individual provider Active NPI

Tina Teresa Mond, DNP, APRN-FPA

  • Primary Care Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1043704349
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
277002222 Issued in IL
Practice address
2810 Frank Scott Parkway West
Suite 708
Belleville, IL 62223-5007
Phone
(314) 252-8704
Fax
(251) 873-1836
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 277002222 IL Primary

Addresses

Primary practice location

2810 Frank Scott Parkway West
Suite 708
Belleville, IL 62223-5007

Mailing address

2810 Frank Scott Parkway, West
Suite 708
Belleville, IL 62223-5007
Phone (314) 252-8704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190502001038 IL Practitioner - Nurse Practitioner 7214279777 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc Single Specialty CurrentSince Nov 1, 2019 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Mar 22, 2019 Accepting new patients
Southern Illinois Healthcare Foundation Inc Single Specialty CurrentSince Mar 22, 2019 Accepting new patients
Trinity Healthcare Practice, LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients

Locations

2810 Frank Scott Pkwy W
Ste 708
Belleville, IL 62223
Phone (314) 252-8704

100 N 8th St
Ste 120
East Saint Louis, IL 62201
Phone (618) 274-9105

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

824 Locust St
Red Bud, IL 62278
Phone (618) 282-6656

Interoperability endpoints

  • Direct secure messaging: tina.mond.1@33495.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1043704349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PARKWAY, WEST",
            "address_2": "SUITE 708",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235007",
            "telephone_number": "314-252-8704",
            "fax_number": "251-873-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PARKWAY WEST",
            "address_2": "SUITE 708",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235007",
            "telephone_number": "314-252-8704",
            "fax_number": "251-873-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOND",
        "first_name": "TINA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-FPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "277002222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.