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MARIAH ROSE MUNDT PA-C
NPI 1356176200
Physician Assistant in Auburn, CA

Active since September 02, 2024PECOS EnrolledAccepts Medicare Assignment
11795 EDUCATION ST STE 110, AUBURN, CA 95602(530) 886-6820 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2025, Sep 2, 2024 (2 updates tracked since 2024).

About Mariah Rose Mundt Pa-c NPPES

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

MARIAH ROSE MUNDT PA-C (NPI 1356176200) is an individual physician assistant in Auburn, California, licensed in California (65718) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356176200
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAH ROSE MUNDTCredential: PA-C
Location Address11795 EDUCATION ST STE 110Auburn, CA 95602-2469
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Phone(530) 886-6820
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 2, 2024
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1356176200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 65718
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11795 EDUCATION ST STE 110, Auburn, CA 95602
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11273 Honey Run RdChico, CA 95928-8848 · Phone (530) 570-4096
Location 26620 Coyle AveCarmichael, CA 95608-6333 · Phone (916) 536-9455

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

Mariah Rose Mundt Pa-c 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 ID9133644461
PECOS Enrollment IDI20250421000253
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95602 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 5

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

MICHAEL P MULLIGAN MD
Family Medicine
11795 EDUCATION ST STE 110
AUBURN, CA 95602
Nevada County (530) 889-7470
RAMEZ SAKKAB
Podiatrist
11795 EDUCATION ST STE 110
AUBURN, CA 95602
Nevada County (530) 886-2300
TIMOTHY JOHN MICKEL M.D.
Orthopaedic Surgery
11795 EDUCATION ST STE 110
AUBURN, CA 95602
Nevada County (530) 886-6820
HEATH BOYER SIMMONS PA-C, ATC
Physician Assistant
11795 EDUCATION ST STE 110
AUBURN, CA 95602
Nevada County (530) 886-6820
DR. GREGORY THOMAS LICHTMAN D.O.
Orthopaedic Surgery
11795 EDUCATION ST STE 110
AUBURN, CA 95602
Nevada County (530) 886-6820

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 Mariah Mundt's NPI number?

The NPI number for Mariah Mundt is 1356176200. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Where is Mariah Mundt located?

Mariah Mundt practices at 11795 Education St Ste 110, Auburn, CA 95602. The listed phone number is (530) 886-6820.

What is Mariah Mundt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mariah Mundt enrolled in Medicare?

Yes. Mariah Mundt 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.

When was this NPI record last updated?

The NPPES record for Mariah Mundt was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.