MR. YONIS A MUDEY (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790048767

MR. YONIS A MUDEY (NURSE PRACTITIONER) is a healthcare provider. based in San mateo, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 21343 (CA). The NPI Number for MR. YONIS A MUDEY (NURSE PRACTITIONER) is 1790048767

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. YONIS A MUDEY (NURSE PRACTITIONER)
NPI
1790048767
Phone
(510) 517-3156
Address
1730 S Amphlett Blvd
Enumeration Date
24 June 2012
Last Update Date
12 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7074453261
Graduation Year
2008 (18 years ago)
PAC ID
8820234834
Group Practice PAC ID
1850740150
Professional Enrollment ID
I20130418000010
Address ID
CA955402815FO2321XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. YONIS A MUDEY (NURSE PRACTITIONER)

  • 1730 S Amphlett Blvd

    San Mateo, CA 944022707

    Phone: (510) 517-3156

    Type: Location

  • 825 VAN NESS AVE STE 503

    SAN FRANCISCO, CA 941097893

    Phone: (650) 342-1966

    Type: Mailing

  • 2288 FULTON ST STE 309

    BERKELEY, CA 947041490

    Phone: (510) 517-3156

    Type: Mailing

  • 395 OYSTER POINT BLVD

    SOUTH SAN FRANCISCO, CA 940801928

    Phone: (510) 517-3156

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $660.

Total Amount is formed as General ($660) + Research ($0) + Ownership ($0) = $660.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($161).

Total Amount

$660

General + Research + Ownership

Payments

6

Total payment records

General Amount

$660

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130418000010INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes538516$0
99215Established patient office or other outpatient visit, 40-54 minutes33752$0
99443Telephone medical discussion with physician, 21-30 minutes24145$0
90833Psychotherapy with evaluation and management visit, 30 minutes19820$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10887$0
View full utilization report →

Insurance plans in this area (ZIP 94402)

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Provider's Procedures

MR. YONIS A MUDEY (NURSE PRACTITIONER) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERCA90833Psychotherapy, 30 minutes with patient and/or family member8054
NURSE PRACTITIONERCA90836Psychotherapy, 45 minutes with patient and/or family member10049

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850740150View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
H O S P I T A L I S TCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I cross-check MR. YONIS A MUDEY (NURSE PRACTITIONER) using NPI 1790048767?
NPI 1790048767 belongs to MR. YONIS A MUDEY (NURSE PRACTITIONER); compare other details if you need extra assurance.
Is MR. YONIS A MUDEY (NURSE PRACTITIONER) shown as active in public data?
Registry records indicate MR. YONIS A MUDEY (NURSE PRACTITIONER) maintains an active NPI.
What expertise is attributed to MR. YONIS A MUDEY (NURSE PRACTITIONER)?
MR. YONIS A MUDEY (NURSE PRACTITIONER)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. YONIS A MUDEY (NURSE PRACTITIONER) located near San Mateo?
MR. YONIS A MUDEY (NURSE PRACTITIONER) currently maps to San Mateo, California in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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