MR. MICHAEL THEY NP
NPI 1134699218
Nurse Practitioner - Psychiatric/Mental Health in Modesto, CA

Active since November 30, 2018PECOS EnrolledAccepts Medicare Assignment
1608 TULLY RD, MODESTO, CA 95350(866) 240-8517(209) 497-8337 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2024, May 3, 2024, Apr 10, 2024 and 6 more (9 updates tracked since 2018).

About Mr. Michael They Np NPPES

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

MR. MICHAEL THEY NP (NPI 1134699218) is an individual psychiatric/mental health provider in Modesto, California, licensed in California (NP95010524) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Kaiser Permanente School Of Medicine (2018).

NPPES Registry Identity

NPI1134699218
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MICHAEL THEYCredential: NP
Location Address1608 TULLY RDModesto, CA 95350-4031
Mailing AddressPo Box 578688Modesto, CA 95357-8688 · (866) 240-8517 · Fax (209) 497-8337
Fax(209) 497-8337
Sole ProprietorYes
Medical School CMSKaiser Permanente School Of MedicineGraduated 2018
Enumeration DateNovember 30, 2018
Last NPPES UpdateOctober 8, 20249 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1134699218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95010524
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License NP95010524 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP95010524 (CA)
1608 TULLY RD, Modesto, CA 95350

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

Mr. Michael They Np 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 ID143568014
PECOS Enrollment IDI20190424002183
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 Reassignments

6

Medicare enrollment records show Michael They reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Psychiatric/Mental Health
1608 TULLY RD
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
Emergency Medicine
1441 FLORIDA AVENUE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
Public Health or Welfare
275 BECK AVENUE MS 5210
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
Psychiatric/Mental Health
3430 E RUSSELL RD STE 301-102
Las Vegas, NV 89120
  • Reassigned Medicare billing, Nevada enrollment

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 3

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.
280 services37 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.
241 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims30 services$4.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Family)
1608 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Psychiatric/Mental Health)
1608 TULLY RD
MODESTO, CA 95350
Clinic/Center (Public Health, State or Local)
1608 TULLY RD
MODESTO, CA 95350
Internal Medicine
1608 TULLY RD
MODESTO, CA 95350
Nurse Practitioner
1608 TULLY RD
MODESTO, CA 95350
Internal Medicine
1608 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
1608 TULLY RD
MODESTO, CA 95350

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 Michael They's NPI number?

The NPI number for Michael They is 1134699218. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Michael They located?

Michael They practices at 1608 Tully Rd, Modesto, CA 95350. The listed phone number is (866) 240-8517.

What is Michael They's specialty?

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

Is Michael They enrolled in Medicare?

Yes. Michael They 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 organizations bill Medicare for Michael They's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael They reassigns Medicare benefits to 6 organizations: Careforyou Inc (Modesto, CA), Cep America - California (Modesto, CA), Grow Healthcare Group PC (San Jose, CA), County Of Solano (Fairfield, CA), Ehab Yacoub MD Inc. (Gardena, CA) and 1 more organization, listed in the Medicare section above. Each 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 Michael They's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael They was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.