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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

Phone(866) 240-8517

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

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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 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.

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.

PRITI MODI, M.D. INC.

Internal Medicine