Kelli Mowrer, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209016577 Issued in IL

Practice address

8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736

Phone

(618) 244-4800

Fax

(618) 241-1746

NPI assigned

Oct 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Services Corporation of Southern Illinois IncGroup PAC ID 9234022567, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
• SSM Health St Mary's Hospital -Centralia Hospital, Centralia, IL, CCN 140034
• Hamilton Memorial Hospital Hospital, McLeansboro, IL, CCN 141326
• Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311
• Deaconess Illinois Crossroads Hospital, Mount Vernon, IL, CCN 140294

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmowrer316674@direct-ehr-ssmhc.com

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

• Physician Services Corporation of Southern Illinois Inc.

  dba SSM Health Medical Group

  • Internal Medicine Physician
  • Mount Vernon, IL
  • NPI 1831101807
  Medicare reassignment Care Compare group NPD
• Asbery and Associates OB GYN LLC

  • Obstetrics & Gynecology Physician
  • Mount Vernon, IL
  • NPI 1033440722
  Medicare reassignment NPD

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

• Deaconess Illinois Crossroads Inc

  dba Crossroads Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, IL
  • NPI 1124745807
  Care Compare affiliation
• Fairfield Memorial Hospital Association

  • Critical Access Hospital
  • Fairfield, IL
  • NPI 1255422416
  Care Compare affiliation
• Good Samaritan Regional Health Center

  dba SSM Health Good Samaritan Hospital - Mt. Vernon

  • General Acute Care Hospital
  • Mount Vernon, IL
  • NPI 1609897339
  Care Compare affiliation
• Hamilton Memorial Hospital District

  • Critical Access Hospital
  • McLeansboro, IL
  • NPI 1447257258
  Care Compare affiliation
• Hamilton Memorial Hospital District

  dba Carmi Family Clinic

  • Rural Health Clinic/Center
  • Carmi, IL
  • NPI 1588902183

  Hospital

  Care Compare affiliation
• St Mary's Hospital, Centralia, Illinois

  dba SSM Health St. Mary's Hospital - Centralia

  • General Acute Care Hospital
  • Centralia, IL
  • NPI 1083617245
  Care Compare affiliation

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1417468190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CUSUMANO PROFESSIONAL PLAZA DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646736",
            "telephone_number": "618-244-4800",
            "fax_number": "618-241-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CUSUMANO PROFESSIONAL PLAZA DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646736",
            "telephone_number": "618-244-4800",
            "fax_number": "618-241-1746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Good Samaritan Way Ste 420",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642478",
            "country_code": "US",
            "telephone_number": "618-899-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOWRER",
        "first_name": "KELLI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmowrer316674@direct-ehr.ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kmowrer316674@direct-ehr.ssmhc.com",
            "address_1": "2 Good Samaritan Way Ste 420",
            "city": "Mount Vernon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628642478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2 Good Samaritan Way Ste 420",
            "city": "Mount Vernon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628642478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith C Morgan, RN/BA/CADC
• Mount Vernon Chiropractic Clinic
• Mount Vernon Emergency Group PC
• Mount Vernon Heart Institute LTD
• Mount Vernon Medical Enterprises Inc
• Mt Vernon Community Pharmacy Inc (The Medicine Shoppe)
• Mt Vernon Community Pharmacy Inc (The Medicine Shoppe)
• Mt Vernon Cty SCH Dist 80
• Mt Vernon Family Practice PC
• Mt Vernon Neurology, S.C.

• Nurse Practitioner in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.