Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASEY LYNN MATTINGLY PMHNP
NPI 1114537537
Nurse Practitioner - Psychiatric/Mental Health in Georgetown, KY

Active since August 01, 2020PECOS Enrolled
105 WINDSOR PATH STE 5, GEORGETOWN, KY 40324(888) 585-8434(216) 456-8128 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Dec 8, 2020, Aug 1, 2020 (3 updates tracked since 2020).

About Casey Lynn Mattingly Pmhnp NPPES

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

CASEY LYNN MATTINGLY PMHNP (NPI 1114537537) is an individual psychiatric/mental health provider in Georgetown, Kentucky, licensed in Kentucky (3015429) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114537537
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCASEY LYNN MATTINGLYCredential: PMHNP
Location Address105 WINDSOR PATH STE 5Georgetown, KY 40324-9819
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7725 · (888) 585-8434 · Fax (216) 456-8128
Fax(216) 456-8128
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 1, 2020
Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1114537537 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 KY · 3015429
105 WINDSOR PATH STE 5, Georgetown, KY 40324

Other Names 1

Former Name (1)Casey Lynn Tucker Pmhnp

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Casey Lynn Mattingly Pmhnp 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 ID5597179481
PECOS Enrollment IDI20210204002422
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.

Medicare Billing Reassignment

Medicare enrollment records show Casey Mattingly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122
  • Reassigned Medicare billing, Kentucky enrollment
  • 198 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
95 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40324 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Psychiatric/Mental Health)
105 WINDSOR PATH STE 5
GEORGETOWN, KY 40324
Nurse Practitioner (Psychiatric/Mental Health)
105 WINDSOR PATH STE 5
GEORGETOWN, KY 40324
Nurse Practitioner (Psychiatric/Mental Health)
105 WINDSOR PATH STE 5
GEORGETOWN, KY 40324
Social Worker (Clinical)
105 WINDSOR PATH STE 5
GEORGETOWN, KY 40324
Social Worker (Clinical)
105 WINDSOR PATH STE 5
GEORGETOWN, KY 40324
Social Worker (Clinical)
105 WINDSOR PATH STE 5
GEORGETOWN, KY 40324
Nurse Practitioner (Psychiatric/Mental Health)
105 WINDSOR PATH STE 5
GEORGETOWN, KY 40324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Mattingly's NPI number?

The NPI number for Casey Mattingly is 1114537537. It was assigned to this individual provider in the NPPES registry on August 1, 2020. The provider is also known as Casey Lynn Tucker Pmhnp.

Where is Casey Mattingly located?

Casey Mattingly practices at 105 Windsor Path Ste 5, Georgetown, KY 40324. The listed phone number is (888) 585-8434.

What is Casey Mattingly's specialty?

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

Is Casey Mattingly enrolled in Medicare?

Yes. Casey Mattingly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Casey Mattingly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Mattingly reassigns Medicare benefits to Psychological & Behavioral Consultants, LLC (Beachwood, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Mattingly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Mattingly accept?

Health plans from Anthem Blue Cross and Blue Shield list Casey Mattingly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Casey Mattingly was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.