ROBERT WALLEN PMHNP
NPI 1609583517
Nurse Practitioner - Psychiatric/Mental Health in Goodyear, AZ

Active since October 31, 2022PECOS EnrolledAccepts Medicare Assignment
14122 W MCDOWELL RD STE 203, GOODYEAR, AZ 85395(623) 349-1711(623) 399-1958 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Jun 20, 2023, May 31, 2023 and 1 more (4 updates tracked since 2022).

About Robert Wallen Pmhnp NPPES

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

ROBERT WALLEN PMHNP (NPI 1609583517) is an individual psychiatric/mental health provider in Goodyear, Arizona, licensed in Arizona (282633) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609583517
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROBERT WALLENCredential: PMHNP
Location Address14122 W MCDOWELL RD STE 203Goodyear, AZ 85395-2505
Mailing Address14122 W Mcdowell Rd Ste 203Goodyear, AZ 85395-2505 · (623) 349-1711 · Fax (623) 399-1958
Fax(623) 399-1958
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2022
Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
NPI 1609583517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AZ · 282633
14122 W MCDOWELL RD STE 203, Goodyear, AZ 85395

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

Robert Wallen 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 ID1153792643
PECOS Enrollment IDI20230119002895
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

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.
32 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
14122 W MCDOWELL RD STE 203
GOODYEAR, AZ 85395
Nurse Practitioner (Psychiatric/Mental Health)
14122 W MCDOWELL RD STE 203
GOODYEAR, AZ 85395
Nurse Practitioner (Psychiatric/Mental Health)
14122 W MCDOWELL RD STE 203
GOODYEAR, AZ 85395

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 Robert Wallen's NPI number?

The NPI number for Robert Wallen is 1609583517. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Robert Wallen located?

Robert Wallen practices at 14122 W Mcdowell Rd Ste 203, Goodyear, AZ 85395. The listed phone number is (623) 349-1711.

What is Robert Wallen's specialty?

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

Is Robert Wallen enrolled in Medicare?

Yes. Robert Wallen 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 Robert Wallen accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Robert Wallen 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.

When was this NPI record last updated?

The NPPES record for Robert Wallen was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.