MR. MICHAEL TODD MATHISEN APRN, PMHNP-BC
NPI 1114487881
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Michael Mathisen's NPI number?

The NPI number for Michael Mathisen is 1114487881. It was assigned to this individual provider in the NPPES registry on March 20, 2019. The provider is also known as Mr. Michael Todd Mathisen Aprn, Pmhnp-Bc.

Q: What is Michael Mathisen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mathisen was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment

4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103(702) 485-2100(702) 902-2466 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Michael Todd Mathisen Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL TODD MATHISEN APRN, PMHNP-BC (NPI 1114487881) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (818912) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114487881

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. MICHAEL TODD MATHISENCredential: APRN, PMHNP-BC

Location Address4270 S DECATUR BLVD STE B6Las Vegas, NV 89103-6802

Mailing Address7171 Almerta AveLas Vegas, NV 89178-8032 · (610) 883-2862 · Fax (702) 902-8466

Phone(702) 485-2100

Fax(702) 902-2466

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 20, 2019

✔ NPI 1114487881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · 818912

4270 S DECATUR BLVD STE B6, Las Vegas, NV 89103

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Other Names 1

Professional Name (2)Mr. Michael Todd Mathisen Aprn, Pmhnp-bc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Todd Mathisen Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648504605

PECOS Enrollment IDI20190625001488

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

75 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOBEL ASEFAW

Nurse Practitioner (Psychiatric/Mental Health)