Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michaela Mathis, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639061955

Michaela Mathis, PMHNP-BC is a Nurse Practitioner in Laveen, Arizona. Qualified in 2025, 1 year ago. Practices with Marcann Mental Health Services PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

6720 S 49th Dr
Laveen, AZ 85339-1982
Phone: (509) 385-4509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 327359 (AZ)

Record details

NPI number1639061955
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 21, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address6720 S 49th Dr, Laveen, AZ 85339-1982

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Marcann Mental Health Services Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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