SETH M MENDENHALL PMHNP
NPI 1427793710
Nurse Practitioner - Psychiatric/Mental Health in West Burlington, IA

Active since May 01, 2022PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1401 W AGENCY RD, WEST BURLINGTON, IA 52655(319) 768-4191 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seth M Mendenhall Pmhnp NPPES

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

SETH M MENDENHALL PMHNP (NPI 1427793710) is an individual psychiatric/mental health provider in West Burlington, Iowa, licensed in Iowa (G170108) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427793710
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSETH M MENDENHALLCredential: PMHNP
Location Address1401 W AGENCY RDWest Burlington, IA 52655-1643
Mailing Address508 W Morningside DrBurlington, IA 52601-1679 · (217) 257-2215
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 1, 2022
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedSeptember 19, 2022
NPI 1427793710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IA · G170108
1401 W AGENCY RD, West Burlington, IA 52655

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Seth M Mendenhall 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 ID4688058043
PECOS Enrollment IDI20220902000641
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 2

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.
146 services67 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
66 services55 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

Other Providers at the Same Location NPPES 19

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

Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Orthopaedic Surgery (Foot and Ankle Surgery)
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Orthopaedic Surgery
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Podiatrist (Foot & Ankle Surgery)
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655

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 Seth Mendenhall's NPI number?

The NPI number for Seth Mendenhall is 1427793710. It was assigned to this individual provider in the NPPES registry on May 1, 2022.

Where is Seth Mendenhall located?

Seth Mendenhall practices at 1401 W Agency Rd, West Burlington, IA 52655. The listed phone number is (319) 768-4191.

What is Seth Mendenhall's specialty?

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

Is Seth Mendenhall enrolled in Medicare?

Yes. Seth Mendenhall 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.

What insurance does Seth Mendenhall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Seth Mendenhall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Seth Mendenhall affiliated with any hospitals?

According to CMS data, Seth Mendenhall is affiliated with Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Mendenhall was last updated on January 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.