Michaela Mathis, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

327359 Issued in AZ

Practice address

6720 S 49TH Dr
Laveen, AZ 85339-1982

Phone

(509) 385-4509

NPI assigned

Jul 21, 2025

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marcann Mental Health Services PLLCGroup PAC ID 0941335350, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marcann Mental Health Services, PLLC

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1992036545

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• True Care Counseling LLC

  • Counselor
  • Glendale, AZ
  • NPI 1992999189
  NPD
• Marcann Health Alliance

  • Psychiatric/Mental Health Nurse Practitioner
  • Sun City, AZ
  • NPI 1942000955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639061955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 S 49TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391982",
            "telephone_number": "509-385-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 S 49TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391982",
            "telephone_number": "509-385-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "MICHAELA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "327359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Group Home LLC
• Irene Basil Maseveriyo
• Breannea Mason
• Tinoy Matamana, PT
• Mateenah's Manor Assisted Living Homes, LLC
• Mattie's Care House, LLC
• Mave Care Behavioral Health LLC
• Marta Mayes
• Carmalita McClelland, LPN
• Kiara McCoy

• Psychiatric/Mental Health Nurse Practitioner in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.