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NICOLE MUTNANSKY PMHNP-BC
NPI 1912459447
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since November 01, 2016PECOS EnrolledAccepts Medicare Assignment
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005(971) 319-1592 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2026, Jul 9, 2024, Jan 23, 2023 and 1 more (4 updates tracked since 2016).

About Nicole Mutnansky Pmhnp-bc NPPES

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

NICOLE MUTNANSKY PMHNP-BC (NPI 1912459447) is an individual psychiatric/mental health provider in Beaverton, Oregon, licensed in Pennsylvania (SP019347) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1912459447
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE MUTNANSKYCredential: PMHNP-BC
Location Address12725 SW MILLIKAN WAY STE 300Beaverton, OR 97005-1687
Mailing Address12725 Sw Millikan Way Ste 300Beaverton, OR 97005-1687 · (971) 319-1592
Phone(971) 319-1592
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 1, 2016
Last NPPES UpdateMarch 9, 20264 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1912459447 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 PA · SP019347
12725 SW MILLIKAN WAY STE 300, Beaverton, OR 97005
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Nicole Mutnansky Pmhnp-bc 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 ID5496097347
PECOS Enrollment IDI20190425001615
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Mutnansky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Directions Mental Health, PC
2,170 mi
Mental Health (Including Community Mental Health Center)
110 HIDDEN VALLEY RD
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 223 clinicians in this Medicare group
NPI 1215904800 (724) 941-4070
Monongahela Valley Hospital, Inc.
2,183 mi
Psychiatric Unit
1163 COUNTRY CLUB ROAD
Monongahela, PA 15063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 15 clinicians in this Medicare group
NPI 1316911142 (724) 258-1160
Highlands Hospital And Health Center
2,203 mi
Family Medicine
401 E MURPHY AVE, SUITE 201
Connellsville, PA 15425
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 155 clinicians in this Medicare group
NPI 1447443957 (724) 628-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

RESTORING BALANCE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (503) 749-9076
VICTORIA MARIE RANDLE
Nurse Practitioner (Psychiatric/Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (971) 413-7199
KELSEY ELIZABETH HUBER
Counselor (Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (503) 906-7945
ALEXANDER FREEMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (833) 931-1716
SARA AL MUGHAIRY
Counselor
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (971) 246-5970
SERENITY HOME CARE LLC
In Home Supportive Care
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (503) 520-9400
MEGAN RENEE LOGSDON
Counselor
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (503) 303-0304
WELLNESS BY DESIGN, LLC
Clinic/Center (Primary Care)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (971) 998-9747

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 Nicole Mutnansky's NPI number?

The NPI number for Nicole Mutnansky is 1912459447. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Nicole Mutnansky located?

Nicole Mutnansky practices at 12725 SW Millikan Way Ste 300, Beaverton, OR 97005. The listed phone number is (971) 319-1592.

What is Nicole Mutnansky's specialty?

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

Is Nicole Mutnansky enrolled in Medicare?

Yes. Nicole Mutnansky 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 Nicole Mutnansky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mutnansky reassigns Medicare benefits to 3 organizations: New Directions Mental Health, PC (Mc Murray, PA), Monongahela Valley Hospital, Inc. (Monongahela, PA) and Highlands Hospital And Health Center (Connellsville, PA). 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 Nicole Mutnansky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Mutnansky accept?

Health plans from Moda Health Plan, Inc. list Nicole Mutnansky 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 Nicole Mutnansky was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.