NICHOLAS CONRAD EISEMANN-ASTONE PMHNP
NPI 1114633815
Nurse Practitioner - Psychiatric/Mental Health in Tempe, AZ

Q: What is Nicholas Eisemann-astone's NPI number?

The NPI number for Nicholas Eisemann-astone is 1114633815. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Q: What is Nicholas Eisemann-astone's specialty?

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

Active since January 25, 2023PECOS EnrolledAccepts Medicare Assignment

1642 S PRIEST DR STE 101, TEMPE, AZ 85281(602) 216-7094(602) 389-3683 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: May 31, 2023, May 22, 2023, Jan 25, 2023 (3 updates tracked since 2023).

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About Nicholas Conrad Eisemann-astone Pmhnp NPPES

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

NICHOLAS CONRAD EISEMANN-ASTONE PMHNP (NPI 1114633815) is an individual psychiatric/mental health provider in Tempe, Arizona, licensed in Arizona (226243) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114633815

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameNICHOLAS CONRAD EISEMANN-ASTONECredential: PMHNP

Location Address1642 S PRIEST DR STE 101Tempe, AZ 85281-6204

Mailing Address7165 E University Dr Ste 155Mesa, AZ 85207-6412 · (480) 913-5872 · Fax (602) 848-3105

Phone(602) 216-7094

Fax(602) 389-3683

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 25, 2023

Last NPPES UpdateFebruary 26, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2024

✔ NPI 1114633815 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 AZ · 226243

1642 S PRIEST DR STE 101, Tempe, AZ 85281

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Secondary Practice Locations 2

Location 17165 E University Dr Ste 155Mesa, AZ 85207-6412 · Phone (480) 913-5872 · Fax (602) 848-3105

Location 21101 N Central Ave Ste 200Phoenix, AZ 85004-1844 · Phone (602) 595-8161 · Fax (602) 307-5021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Nicholas Conrad Eisemann-astone 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 ID2365815297

PECOS Enrollment IDI20230223002722

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

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

79 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85281 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

CARRIE SUSANNE BANN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)