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JENNIFER ANNISA MATHEW DO
NPI 1003504499
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since April 25, 2023PECOS Enrolled
11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Annisa Mathew Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ANNISA MATHEW DO (NPI 1003504499) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (BP10085254) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003504499
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER ANNISA MATHEWCredential: DO
Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154
Mailing Address11937 Us Highway 271Tyler, TX 75708-3154
Phone(903) 877-7200
Sole ProprietorYes
Enumeration DateApril 25, 2023
Last NPPES UpdateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1003504499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10085254
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11937 US HIGHWAY 271, Tyler, TX 75708
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Annisa Mathew Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
Psychiatric Unit
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
TYLER DAVIS DO
Surgery (Trauma Surgery)
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7777
PATRICIA DIANNE SHACKELFORD
Pharmacist
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7088
JASMINE MARIE GAMBOA MD
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
DR. SADIE ROSE WALTER DO
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
RENDALL NORTHCUTT FNP
Nurse Practitioner (Primary Care)
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
ES-HAQ SADDELDIN HASSANIN DO
Hospitalist
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7253
DR. GLORIA MARIA ELIZONDO MD
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mathew's NPI number?

The NPI number for Jennifer Mathew is 1003504499. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Jennifer Mathew located?

Jennifer Mathew practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7200.

What is Jennifer Mathew's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Mathew enrolled in Medicare?

Yes. Jennifer Mathew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Mathew was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.