Maryann Morse, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.011559 Issued in IL

Practice address

700 N Lake St Ste 200
Mundelein, IL 60060-1353

Phone

(224) 277-9296

NPI assigned

Aug 6, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 29, 2015 through Dec 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Integrative Energy Medicine, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mundelein, IL
  • NPI 1003576133
  NPD Authorized official
• Personal Growth Associates, Inc.

  • Psychologist
  • Schaumburg, IL
  • NPI 1184643124
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1790194587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LIBERTY BELL LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483455",
            "telephone_number": "847-680-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N LAKE ST STE 200",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601353",
            "telephone_number": "224-277-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "MARYANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.011559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Regional Imaging,LLC
• Merry Walker Corporation
• Gaurav Pravinchandra Modi
• Beth Dalton Moffitt, CCC-SLP
• Sarah Morosan-Vanderheyden, PSYD, LCP
• Katie Mucia, FNP-BC
• Sindhuja Muddam
• Theresa Mugerditchian, MSW, PEL
• Heather Mullen-Gaschler
• Mundelein Chiropractic Decompression Center Service Corporation

• Psychiatric/Mental Health Nurse Practitioner in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.