Active NPI
Ginny Mense, FNP-C
- Family Nurse Practitioner
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209022437
- Practice address
- 4600 Memorial Dr Ste 200
Belleville, IL 62226-5363 - Phone
- (618) 233-2220
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209022437 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209022437 | IL | Primary |
Addresses
Primary practice location
4600 Memorial Dr Ste 200
Belleville, IL 62226-5363
Mailing address
4600 Memorial Dr Ste 200
Belleville, IL 62226-5363
Phone (618) 233-2220
Other practice location 1
2861 Madison Ave
Granite City, IL 62040-3614
Phone (618) 709-7723
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
637 Dunn Rd
Suite 102
Hazelwood, MO 63042-1747
Phone (314) 817-2000
Hospital & facility affiliations
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209022437 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Granite City Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Waterloo Urgent Care Walk in Clinic Company | Current | Accepting new patients | |
| Mercy Clinic East Communities | Nurse Practitioner | Current | Accepting new patients |
| Belleville Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Alton Urgent Care Walk in Clinic Company | Current | Accepting new patients |
Locations
1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320
2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053
2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723
907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
637 Dunn Rd
Ste 102
Hazelwood, MO 63042
Phone (314) 731-3111
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Alton, IL
- NPI 1013521343
-
- Family Medicine Physician
- Belleville, IL
- NPI 1225694946
-
- Urgent Care Clinic/Center
- Granite City, IL
- NPI 1659861953
-
- Family Medicine Physician
- Waterloo, IL
- NPI 1508471418
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
Nurse Practitioner
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1043816374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MEMORIAL DR STE 200",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265363",
"telephone_number": "618-233-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MEMORIAL DR STE 200",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265363",
"telephone_number": "618-233-2220"
}
],
"practiceLocations": [
{
"address_1": "2861 Madison Ave",
"address_purpose": "LOCATION",
"city": "Granite City",
"state": "IL",
"postal_code": "620403614",
"country_code": "US",
"telephone_number": "618-709-7723",
"fax_number": "618-709-7706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENSE",
"first_name": "GINNY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2023-05-03",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209022437",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209022437",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4600 Memorial Dr Ste 200",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622265363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.