MR. YONIS A MUDEY NURSE PRACTITIONER
NPI 1790048767
Nurse Practitioner - Psychiatric/Mental Health in Berkeley, CA
About Mr. Yonis A Mudey Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. YONIS A MUDEY NURSE PRACTITIONER (NPI 1790048767) is an individual psychiatric/mental health provider in Berkeley, California, licensed in California (21343) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Mateo, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
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
Mr. Yonis A Mudey Nurse Practitioner 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 Reassignments
3Medicare enrollment records show Yonis Mudey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berkeley, CA 94704
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Richmond, CA 94805
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Portia Bell Hume Behavioral Health And Training Center
- 23 clinicians in this Medicare group
Eureka, CA 95501
- Reassigned Medicare billing, California enrollment
- 111 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 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94704 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.
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 Yonis Mudey's NPI number?
The NPI number for Yonis Mudey is 1790048767. It was assigned to this individual provider in the NPPES registry on June 24, 2012.
Where is Yonis Mudey located?
Yonis Mudey practices at 2288 Fulton St Ste 309, Berkeley, CA 94704. The listed phone number is (650) 577-2097.
What is Yonis Mudey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Yonis Mudey enrolled in Medicare?
Yes. Yonis Mudey 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 organizations bill Medicare for Yonis Mudey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yonis Mudey reassigns Medicare benefits to 3 organizations: Vista Psychiatric And Primary Care Services (Berkeley, CA), Portia Bell Hume Behavioral Health & Training Center (Richmond, CA) and Altea Medical California PC (Eureka, CA). Each 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 Yonis Mudey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yonis Mudey was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Yonis A Mudey, NURSE PRACTITIONER · NPI 1790048767
Psychiatric/Mental Health physician in Berkeley, California. Individual provider, active in the CMS NPPES registry since June 24, 2012.
## Identity
- **NPI:** 1790048767 (Entity type: Individual)
- **Enumerated:** June 24, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 21343 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2288 FULTON ST STE 309, Berkeley, CA 94704-1490
- **Phone:** (650) 577-2097 · **Fax:** (650) 577-2098
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Vista Psychiatric And Primary Care Services (NPI 1023463189, Berkeley, CA); Portia Bell Hume Behavioral Health & Training Center (NPI 1083060990, Richmond, CA); Altea Medical California PC (NPI 1174302954, Eureka, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790048767) · Data from the CMS NPPES public registry.