Justin Dell Mathews, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11567335-4405 Issued in UT

Practice address

250 N Orem Blvd
Orem, UT 84057-6601

Phone

(801) 609-2448

Fax

(801) 609-2447

NPI assigned

Nov 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Healthcare LLCGroup PAC ID 5698133726, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• Renew Healthcare LLC

  • Adult Mental Health Clinic/Center
  • Layton, UT
  • NPI 1548955479
  Medicare reassignment Care Compare group NPD
• Ascent Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Payson, UT
  • NPI 1912636374
  NPD (past)

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1710701396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 S WILLOW HILLS CT",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931889",
            "telephone_number": "385-505-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576601",
            "telephone_number": "801-609-2448",
            "fax_number": "801-609-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5455 W 11000 N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "UT",
            "postal_code": "840038820",
            "country_code": "US",
            "telephone_number": "801-449-0017",
            "fax_number": "877-407-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "JUSTIN",
        "middle_name": "DELL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11567335-8900",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11567335-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kenedy Maudsley
• Liliana Loni Mauga
• Maughan Dentistry LLC

• Psychiatric/Mental Health Nurse Practitioner in Orem, UT
• Providers in Orem, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.