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MRS. EMILY SUZANNE MATHIESEN M.D.
NPI 1053636092
Specialist in Olathe, KS

Active since April 01, 2010PECOS EnrolledAccepts Medicare Assignment
21120 W 152ND ST STE 201, OLATHE, KS 66061(913) 491-4020(913) 491-4725 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 22, 2019, Feb 14, 2017 (2 updates tracked since 2017).

About Mrs. Emily Suzanne Mathiesen M.d. NPPES

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

MRS. EMILY SUZANNE MATHIESEN M.D. (NPI 1053636092) is an individual specialist in Olathe, Kansas, licensed in Kansas (04-39438) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains a secondary practice location in Olathe.

NPPES Registry Identity

NPI1053636092
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. EMILY SUZANNE MATHIESENCredential: M.D.
Location Address21120 W 152ND ST STE 201Olathe, KS 66061
Mailing Address9301 W 74th St Ste 320Overland Park, KS 66204-2207 · (913) 491-4020 · Fax (913) 491-4725
Phone(913) 491-4020
Fax(913) 491-4725
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2010
Enumeration DateApril 1, 2010
Last NPPES UpdateMarch 22, 20192 updates tracked since enumeration
✔ NPI 1053636092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in KS · 04-39438✔ Licensed in MO · 2014015770
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
21120 W 152ND ST STE 201, Olathe, KS 66061
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Secondary Practice Location 1

Location 120375 W 151st St, Suite 409Olathe, KS 66061-5306 · Phone (913) 491-4020 · Fax (913) 491-4725

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and more.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

Mrs. Emily Suzanne Mathiesen M.d. 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 ID3173742103
PECOS Enrollment IDI20170119000558
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 Emily Mathiesen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid America Physician Services LLC
12 mi
Obstetrics & Gynecology
9301 W 74TH ST STE 325
Shawnee Mission, KS 66204
  • Reassigned Medicare billing, Kansas enrollment
  • Medicare enrollment name: Midwest Physician Services LLC
  • 56 clinicians in this Medicare group
NPI 1952734741 (913) 384-4990
Kansas University Physicians Inc
18 mi
Internal Medicine
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 2,139 clinicians in this Medicare group
NPI 1003858333 (913) 588-2527

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

LESLIE WHITTENBURG MD
Obstetrics & Gynecology
21120 W 152ND ST STE 201
OLATHE, KS 66061
Johnson County (913) 355-8228
MADISON NICOLE STEILEN DO
Obstetrics & Gynecology
21120 W 152ND ST STE 201
OLATHE, KS 66061
Johnson County (913) 445-8228
ALISON BLEVINS MD
Obstetrics & Gynecology
21120 W 152ND ST STE 201
OLATHE, KS 66061
Johnson County (913) 791-4200
KELSEY JADE TENPENNY MD
Obstetrics & Gynecology
21120 W 152ND ST STE 201
OLATHE, KS 66061
Johnson County (913) 445-8228
JESSICA SUSAN LUTZ M.D.
Obstetrics & Gynecology
21120 W 152ND ST STE 201
OLATHE, KS 66061
Johnson County (913) 491-4020

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 Emily Mathiesen's NPI number?

The NPI number for Emily Mathiesen is 1053636092. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Emily Mathiesen located?

Emily Mathiesen practices at 21120 W 152nd St Ste 201, Olathe, KS 66061. The listed phone number is (913) 491-4020.

What is Emily Mathiesen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Emily Mathiesen enrolled in Medicare?

Yes. Emily Mathiesen 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 Emily Mathiesen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Mathiesen reassigns Medicare benefits to 2 organizations: Mid America Physician Services LLC (Shawnee Mission, KS) and Kansas University Physicians Inc (Kansas City, KS). 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 Emily Mathiesen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Mathiesen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and UnitedHealthcare list Emily Mathiesen 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.

Is Emily Mathiesen affiliated with any hospitals?

According to CMS data, Emily Mathiesen is affiliated with University Of Kansas Hospital and Olathe Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Mathiesen was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.