Julie Mensching, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Genoa, IL
NPI 1295409282 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1295409282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209023681 (IL)
- Practice address
- 315 Forest View Dr
Genoa, IL 60135-8178 - Phone
- (608) 449-3816
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rockford Psychiatric Medical Services SC
Practice addresses (Care Compare)
1639 N Alpine Rd
Suite 500
Rockford, IL 61107-1440
Phone (815) 395-1500
Hospital & facility affiliations
- Uw Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220125001400 | IL | Practitioner - Nurse Practitioner | 7618369687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209023681 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Psychiatric Medical Services, S.C. | Current |
Accepting new patients |
Locations
1639 N Alpine Rd
Ste 500
Rockford, IL 61107
Phone (815) 395-1500
1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500
Interoperability endpoints
- julie.mensching.1@25899.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041412140 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209023681 | IL | Yes |
Addresses
Primary practice location
315 Forest View Dr
Genoa, IL 60135-8178
Mailing address
315 Forest View Dr
Genoa, IL 60135-8178
Other providers in Genoa, IL
- Julie Kimpan Freeman
- L Doyle Inc
- Jill Lang
- Julie Renee Long
- Martine Lyle
- Donald T. Miller Jr.
- Angela Moore
- Natural Family Health S.C.
- Northern Rehabilitation and Sports Medicine Associates
- Patricia Maria Pasillas Cardenas
All providers in Genoa, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.