Individual provider Active NPI

Patricia A Mahathath, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, MO
National Provider Identifier
1790189272
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023153247 Issued in MO
Practice address
1000 E Cherry St
Troy, MO 63379-1513
Phone
(636) 528-8551
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023153247 MO Primary
Family Nurse Practitioner 363LF0000X 2014036363 MO

Addresses

Primary practice location

1000 E Cherry St
Troy, MO 63379-1513

Mailing address

1000 E Cherry St
Troy, MO 63379-1513
Phone (636) 528-8551

Other practice location 1

212 Hospital Ln Ste 205
Perryville, MO 63775-4204
Phone (573) 547-3116

Other practice location 2

1420 US Highway 61
Festus, MO 63028-4108
Phone (636) 543-2230

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL
1790189272MedicaidMO

Other names 1

  • Patricia A. Whaley Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pwhaley351531@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20141113001631 MO Practitioner - Nurse Practitioner 9830311554 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399

1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220

206 Hospital LN
Perryville, MO 63775-1382

210 Hospital LN
Perryville, MO 63775-4200

210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285

212 Hospital LN
Perryville, MO 63775-4204

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023153247MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Lincoln CurrentSince May 23, 2016 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC CurrentSince Aug 1, 2024 Accepting new patients
Mercy Hospital Perry Current Accepting new patients
Mercy Hospital Lincoln CurrentSince May 23, 2016 Accepting new patients
Mercy Hospital Perry CurrentSince Nov 1, 2024 Accepting new patients
SSM Health Care St Louis CurrentSince Mar 1, 2020 Accepting new patients
Mercy Clinic Adult Psychiatry, LLC CurrentSince Apr 29, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Mar 1, 2020 Accepting new patients
Mercy Hospital Perry PastSince Apr 29, 2024 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1296 Jeffco Blvd
Arnold, MO 63010
Phone (636) 321-8600

17701 Edison Ave
Ste 101
Chesterfield, MO 63005
Phone (636) 735-4122

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1420 US Highway 61
Crystal Cty, MO 63028
Phone (636) 543-2230

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

212 Hospital Ln
Ste 205
Perryville, MO 63775
Phone (573) 547-3116

12 N Kingshighway St
#101
Perryville, MO 63775
Phone (573) 547-3116

12125 Conway Rd
Ste 160
Saint Louis, MO 63141
Phone (314) 251-2870

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

Interoperability endpoints

  • Direct secure messaging: pwhaley351531@direct-ehr-ssmhc.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1790189272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791513",
            "telephone_number": "636-528-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791513",
            "telephone_number": "636-528-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Hospital Ln Ste 205",
            "address_purpose": "LOCATION",
            "city": "Perryville",
            "state": "MO",
            "postal_code": "637754204",
            "country_code": "US",
            "telephone_number": "573-547-3116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 US Highway 61",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284108",
            "country_code": "US",
            "telephone_number": "636-543-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHATHATH",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023153247",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014036363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790189272",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pwhaley351531@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pwhaley351531@direct-ehr-ssmhc.com",
            "address_1": "1296 Jeffco Blvd",
            "city": "Arnold",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630102138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1296 Jeffco Blvd",
            "city": "Arnold",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630102138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WHALEY",
            "middle_name": "A.",
            "credential": "PMHNP, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.