Ricky Stuart Mofsen, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R7J70 Issued in MO

Practice address

3535 S Jefferson Ave
Suite 104
Saint Louis, MO 63118-3930

Phone

(314) 776-7999

Fax

(314) 772-2257

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mark Twain Association for Mental Health IncGroup PAC ID 9436376969, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025
• Blessing Hospital Hospital, Quincy, IL, CCN 140015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mofsen.ricky.mgh@direct.partners.masshiway.net

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.

• Mark Twain Association for Mental Health, Inc.

  dba Mark Twain Behavioral Health

  • Community/Behavioral Health Agency
  • Hannibal, MO
  • NPI 1700933363
  Medicare reassignment Care Compare group NPD
• Clinical Research Associates, PC

  dba Long Term Psychiatric Management

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1063632826
  Medicare reassignment
• Mark Twain Association for Mental Health, Inc

  dba Mark Twain Behavioral Health

  • Community/Behavioral Health Agency
  • Hannibal, MO
  • NPI 1104368703
  NPD
• General Hospital Corp

  dba Massachusetts General Hospital Outpatient Pharmacy

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1508390014
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hannibal Regional Healthcare System, Inc

  • Rural Acute Care Hospital
  • Hannibal, MO
  • NPI 1922042704
  Care Compare affiliation
• Blessing Hospital

  • Nurse Practitioner
  • Quincy, IL
  • NPI 1417204827

  Hospital

  Care Compare affiliation
• Blessing Hospital

  • General Acute Care Hospital
  • Quincy, IL
  • NPI 1760571699
  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306921812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4252",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630064252",
            "telephone_number": "314-776-7999",
            "fax_number": "314-772-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE",
            "address_2": "SUITE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183930",
            "telephone_number": "314-776-7999",
            "fax_number": "314-772-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFSEN",
        "first_name": "RICKY",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R7J70",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD NUMBER",
            "identifier": "14488",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R7J70",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick J Moen, MD
• Ryan Paul Moenster, PHARM.D.
• Miranda Lynn Moeslein, DPT
• Kelly Moffatt
• Stephanie Mofield, FNP-C
• Nikhil Mogalapalli, MD
• Mogene Clinical Diagnostics LC
• Jill Mogil, O.D.
• Lisa Beth Mogil, MD
• Taha Mohamed Djirdeh, MD

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.