NICOLE MUTNANSKY PMHNP-BC
NPI 1912459447
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR
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
Specialties & Licenses
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
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.
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.
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.
BEAVERTON, OR 97005
BEAVERTON, OR 97005
BEAVERTON, OR 97005
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.
What insurance does Nicole Mutnansky accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon 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 5 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.
# Nicole Mutnansky, PMHNP-BC · NPI 1912459447
Psychiatric/Mental Health physician in Beaverton, Oregon. Individual provider, active in the CMS NPPES registry since November 1, 2016.
## Identity
- **NPI:** 1912459447 (Entity type: Individual)
- **Enumerated:** November 1, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP019347 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 12725 SW MILLIKAN WAY STE 300, Beaverton, OR 97005-1687
- **Phone:** (971) 319-1592
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912459447) · Data from the CMS NPPES public registry.