MS. PATRICIA A MAHATHATH (PMHNP, FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790189272

MS. PATRICIA A MAHATHATH (PMHNP, FNP) is a healthcare provider. based in Troy, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP, FNP. They hold a License No. 2023153247 (MO). The NPI Number for MS. PATRICIA A MAHATHATH (PMHNP, FNP) is 1790189272

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. PATRICIA A MAHATHATH (PMHNP, FNP)
NPI
1790189272
Phone
(636) 528-8551
Address
1000 E CHERRY ST
Enumeration Date
13 October 2014
Last Update Date
29 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5735472536
Graduation Year
2014 (12 years ago)
PAC ID
9830311554
Group Practice PAC ID
1153777826
Professional Enrollment ID
I20141113001631
Address ID
MO637751359PE434XXSTXX400

Contacts

Secure Messaging
pwhaley351531@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness95
Years active:11State licenses:2Other names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MS. PATRICIA A MAHATHATH (PMHNP, FNP)

  • 1000 E CHERRY ST

    TROY, MO 633791513

    Phone: (636) 528-8551

    Type: Mailing

  • 660 S EUCLID AVE

    CB 8072

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-9123

    Fax: (314) 747-3338

    Type: Mailing

  • 400 S KINGSHIGHWAY BLVD

    SAINT LOUIS, MO 631101014

    Phone: (314) 362-9123

    Fax: (314) 747-3338

    Type: Location

  • 1420 US Highway 61

    Festus, MO 630284108

    Phone: (636) 543-2230

    Type: Location

  • 212 Hospital Ln Ste 205

    Perryville, MO 637754204

    Phone: (573) 547-3116

    Type: Location

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: 2014-11-13

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
I20141113001631INurse PractitionerMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes117105$0
99203New patient office or other outpatient visit, 30-44 minutes4848$0
99214Established patient office or other outpatient visit, 30-39 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 63379)

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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: 1153777826View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Nurse PractitionerMO
Nurse PractitionerMO
Diagnostic RadiologyTN
Diagnostic RadiologyMO
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Where can patients find MS. PATRICIA A MAHATHATH (PMHNP, FNP)'s NPI?
You can confirm MS. PATRICIA A MAHATHATH (PMHNP, FNP) with NPI 1790189272; it appears in the national provider directory.
Does this profile mean MS. PATRICIA A MAHATHATH (PMHNP, FNP) is currently active?
Yes — MS. PATRICIA A MAHATHATH (PMHNP, FNP) appears active in the national provider directory.
What field does MS. PATRICIA A MAHATHATH (PMHNP, FNP) work in?
You can think of MS. PATRICIA A MAHATHATH (PMHNP, FNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MS. PATRICIA A MAHATHATH (PMHNP, FNP) practice in Missouri?
You will see Troy, Missouri on file for MS. PATRICIA A MAHATHATH (PMHNP, FNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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