ROBERT JOHN MENDENHALL (DO) – Psychiatry Physician, NPI 1487996955

ROBERT JOHN MENDENHALL (DO) is a healthcare provider. based in Henderson, Nevada. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. DO1996 (NV). The NPI Number for ROBERT JOHN MENDENHALL (DO) is 1487996955

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT JOHN MENDENHALL (DO)
NPI
1487996955
Phone
(702) 454-0201
Address
1090 WIGWAM PKWY
Enumeration Date
22 March 2013
Last Update Date
30 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8442007011
Graduation Year
2013 (13 years ago)
PAC ID
4789803859
Group Practice PAC ID
6002113057
Professional Enrollment ID
I20170713003690
Address ID
UT844053926RI5117X1500300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

251 PSYCHIATRY in NV

Provider Addresses for ROBERT JOHN MENDENHALL (DO)

  • 1090 WIGWAM PKWY

    HENDERSON, NV 890748162

    Phone: (702) 454-0201

    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: 2017-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160219000608IPsychiatryNVTBD
I20170713003690IPsychiatryUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes23271$0
90833Psychotherapy with evaluation and management visit, 30 minutes3826$0
View full utilization report →

Insurance plans in this area (ZIP 89074)

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Provider's Procedures

ROBERT JOHN MENDENHALL (DO) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYNV90833Psychotherapy, 30 minutes with patient and/or family member7432

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: 6002113057View full group profile
NameSpecialtyState
-CO
-CO
P S Y C H I A T R YWA
-CO
P S Y C H I A T R YCO
Psychiatry, Neurology, Neurosurgery, NeurologySC
-CO
P S Y C H I A T R YID

Reviews

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Frequently asked questions

How do payers reference ROBERT JOHN MENDENHALL (DO)?
For ROBERT JOHN MENDENHALL (DO), use NPI 1487996955 as the unique 10-digit identifier.
Is ROBERT JOHN MENDENHALL (DO) still an active registrant?
ROBERT JOHN MENDENHALL (DO) carries an active NPI according to the public dataset.
What area of care is associated with ROBERT JOHN MENDENHALL (DO)?
ROBERT JOHN MENDENHALL (DO)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT JOHN MENDENHALL (DO)?
Travel planning: use Henderson, Nevada as the reference point for ROBERT JOHN MENDENHALL (DO), then confirm.
When was this NPI issued?
Enumeration for ROBERT JOHN MENDENHALL (DO) is noted as March 22, 2013 where the registry provides it.

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