MATTHEW MERRILL MANN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215747605

MATTHEW MERRILL MANN (PMHNP-BC) is a healthcare provider. based in Grand junction, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. APN.1000442-NP (CO). The NPI Number for MATTHEW MERRILL MANN (PMHNP-BC) is 1215747605

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW MERRILL MANN (PMHNP-BC)
NPI
1215747605
Phone
(760) 885-5335
Address
1715 GRAND AVE
Enumeration Date
9 January 2025
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9705790003
Graduation Year
2024 (2 years ago)
PAC ID
8224551445
Group Practice PAC ID
0749694495
Professional Enrollment ID
I20250328001306
Address ID
CO815012916GR2140XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for MATTHEW MERRILL MANN (PMHNP-BC)

  • 1715 GRAND AVE

    GRAND JUNCTION, CO 815014519

    Phone: (760) 885-5335

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-03-28

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
I20250328001306INurse PractitionerCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81501)

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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: 0749694495View full group profile
NameSpecialtyState
Nurse PractitionerCO
Mental Health CounselorCO
Clinical Social WorkerCO
Mental Health CounselorCO
Mental Health CounselorCO
Marriage And Family TherapistCO
Nurse PractitionerCO
Mental Health CounselorCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What is the registry number for MATTHEW MERRILL MANN (PMHNP-BC)?
The registry entry for MATTHEW MERRILL MANN (PMHNP-BC) shows NPI 1215747605.
Quick check: is MATTHEW MERRILL MANN (PMHNP-BC) active?
Public NPPES data shows MATTHEW MERRILL MANN (PMHNP-BC) with an active NPI status right now.
How should patients interpret MATTHEW MERRILL MANN (PMHNP-BC)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for MATTHEW MERRILL MANN (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Can patients visit MATTHEW MERRILL MANN (PMHNP-BC) in Grand Junction, Colorado?
For routing, start with Grand Junction, Colorado for MATTHEW MERRILL MANN (PMHNP-BC), then verify phone and hours locally.
Who maintains MATTHEW MERRILL MANN (PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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