DR. JUSTIN PETRIE D.O.
NPI 1164816443
Psychiatry & Neurology - Psychiatry in Las Vegas, NV

Q: What is Justin Petrie's NPI number?

The NPI number for Justin Petrie is 1164816443. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Q: What is Justin Petrie's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Justin Petrie was last updated on August 28, 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 24, 2015PECOS EnrolledAccepts Medicare Assignment

4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103(702) 485-2100(702) 825-0091 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Justin Petrie D.o. NPPES

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

DR. JUSTIN PETRIE D.O. (NPI 1164816443) is an individual psychiatry provider in Las Vegas, Nevada, licensed in Nevada (DO2506) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2019).

NPPES Registry Identity

NPI1164816443

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JUSTIN PETRIECredential: D.O.

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

Mailing Address2040 W Charleston Blvd, #202aLas Vegas, NV 89102-2227 · (702) 671-5127 · Fax (702) 671-6440

Phone(702) 485-2100

Fax(702) 825-0091

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2019

Enumeration DateMarch 24, 2015

Last NPPES UpdateAugust 28, 2019

✔ NPI 1164816443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NV · DO2506

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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

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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

Dr. Justin Petrie D.o. 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 ID1658687926

PECOS Enrollment IDI20190805002007

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

Medicare enrollment records show Justin Petrie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Mental Health Specialists Suba Park Cheng PLLC

Same address

Psychiatry

4270 S DECATUR BLVD STE B6
Las Vegas, NV 89103

Reassigned Medicare billing, Nevada enrollment
33 clinicians in this Medicare group

NPI 1275988107 (702) 485-2100

Homebase Care Casal PLLC

3.4 mi

Community/Behavioral Health

3312 W CHARLESTON BLVD
Las Vegas, NV 89102

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Medtrans Medical Nevada Casal PLLC
74 clinicians in this Medicare group

NPI 1659836443 (702) 410-7825

Medtrans Reno Casal, PLLC

344 mi

Family Medicine

890 MILL ST FL 4
Reno, NV 89502

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Medtrans Behavioral Nevada Casal PLLC
65 clinicians in this Medicare group

NPI 1790236180 (775) 538-6700

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.

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.

142 services24 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

74 services11 patients

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.

55 services16 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

$173.24 typical visit price

range $57.07 – $173.24

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

Most-billed visit code 99205

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

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 20

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

MR. MICHAEL TODD MATHISEN APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)