CHARITY A MATHIS DNP
NPI 1043796014
Nurse Practitioner - Psychiatric/Mental Health in Gerrardstown, WV

Active since July 12, 2018PECOS EnrolledAccepts Medicare Assignment
1115 HORNERS SAWMILL RD, GERRARDSTOWN, WV 25420(561) 271-9244 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, May 2, 2022, Mar 23, 2020 and 1 more (4 updates tracked since 2018).

About Charity A Mathis Dnp NPPES

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

CHARITY A MATHIS DNP (NPI 1043796014) is an individual psychiatric/mental health provider in Gerrardstown, West Virginia, licensed in West Virginia (111213) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043796014
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHARITY A MATHISCredential: DNP
Location Address1115 HORNERS SAWMILL RDGerrardstown, WV 25420-4276
Mailing Address1115 Horners Sawmill RdGerrardstown, WV 25420-4276 · (561) 271-9244
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 12, 2018
Last NPPES UpdateMay 5, 20254 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1043796014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in WV · 111213✔ Licensed in VA · 0024183967✔ Licensed in MD · AC007262
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 111213 (WV), 0024183967 (VA)
1115 HORNERS SAWMILL RD, Gerrardstown, WV 25420

Secondary Practice Locations 3

Location 14109 Ritchie HwyBrooklyn Park, MD 21225-2703 · Phone (410) 609-0040
Location 25000 Thayer Ctr Ste COakland, MD 21550-1139 · Phone (561) 271-9244
Location 3123 Hovatter DrInwood, WV 25428-1298 · Phone (304) 901-5801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charity A Mathis Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557737814
PECOS Enrollment IDI20240410001126
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charity Mathis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
36 RICKETTS DR
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia and West Virginia enrollments
  • 18 clinicians in this Medicare group
Psychiatric/Mental Health
4109 RITCHIE HWY
Brooklyn Park, MD 21225
  • Reassigned Medicare billing, Maryland and West Virginia enrollments

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Charity Mathis's NPI number?

The NPI number for Charity Mathis is 1043796014. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Charity Mathis located?

Charity Mathis practices at 1115 Horners Sawmill Rd, Gerrardstown, WV 25420. The listed phone number is (561) 271-9244.

What is Charity Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Charity Mathis enrolled in Medicare?

Yes. Charity Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Charity Mathis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charity Mathis reassigns Medicare benefits to 2 organizations: Winchester Community Mental Health Center, Inc. (Winchester, VA) and Hopes Horizon Dnp Services LLC (Brooklyn Park, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charity Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charity Mathis accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Charity Mathis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charity Mathis was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.