SETH M MENDENHALL PMHNP
NPI 1427793710
Nurse Practitioner - Psychiatric/Mental Health in West Burlington, IA
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
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Seth Mendenhall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Burlington, IA 52655
- Reassigned Medicare billing, Iowa enrollment
- 253 clinicians in this Medicare group
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 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.
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, IAPhysician 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.
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.
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.
WEST BURLINGTON, IA 52655
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.
Which organization bills Medicare for Seth Mendenhall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seth Mendenhall reassigns Medicare benefits to Southeast Iowa Regional Medical Center, Inc. (West Burlington, IA). The 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 Seth Mendenhall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Seth Mendenhall accept?
Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Seth M Mendenhall, PMHNP · NPI 1427793710
Psychiatric/Mental Health physician in West Burlington, Iowa. Individual provider, active in the CMS NPPES registry since May 1, 2022.
## Identity
- **NPI:** 1427793710 (Entity type: Individual)
- **Enumerated:** May 1, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** G170108 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1401 W AGENCY RD, West Burlington, IA 52655-1643
- **Phone:** (319) 768-4191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeast Iowa Regional Medical Center, Inc. (NPI 1164433884, West Burlington, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427793710) · Data from the CMS NPPES public registry.