SANDRA G MATHENY AGNP-C
NPI 1134854615
Nurse Practitioner - Adult Health in Sierra Vista, AZ

Q: What is Sandra Matheny's NPI number?

The NPI number for Sandra Matheny is 1134854615. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Q: What is Sandra Matheny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Matheny was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment

198 S CORONADO DR STE A, SIERRA VISTA, AZ 85635(520) 220-5020(520) 220-5028 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 7, 2024, Aug 18, 2022, Jul 19, 2022 (3 updates tracked since 2022).

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About Sandra G Matheny Agnp-c NPPES

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

SANDRA G MATHENY AGNP-C (NPI 1134854615) is an individual adult health provider in Sierra Vista, Arizona, licensed in Arizona (279566) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134854615

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSANDRA G MATHENYCredential: AGNP-C

Location Address198 S CORONADO DR STE ASierra Vista, AZ 85635-6357

Mailing Address198 S Coronado Dr Ste ASierra Vista, AZ 85635-6357 · (520) 220-5020 · Fax (520) 220-5028

Phone(520) 220-5020

Fax(520) 220-5028

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 19, 2022

Last NPPES UpdateJune 7, 20243 updates tracked since enumeration

NPPES CertifiedJune 7, 2024

✔ NPI 1134854615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AZ · 279566

198 S CORONADO DR STE A, Sierra Vista, AZ 85635

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra G Matheny Agnp-c 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 ID1153777289

PECOS Enrollment IDI20231026000956

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.

Areas of Expertise CMS Part B claims 2

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.

303 services102 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

110 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 2

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

SOUTHWEST CANCER CARE LLC

Clinic/Center (Oncology)

198 S CORONADO DR STE A
SIERRA VISTA, AZ 85635

Cochise County (520) 220-5020

DR. ANDREW NAVINDRA LATCHMAN M.D.

Internal Medicine (Hospice and Palliative Medicine)

198 S CORONADO DR STE A
SIERRA VISTA, AZ 85635

Cochise County (520) 220-5020

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 Sandra Matheny's NPI number?

The NPI number for Sandra Matheny is 1134854615. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Sandra Matheny located?

Sandra Matheny practices at 198 S Coronado Dr Ste A, Sierra Vista, AZ 85635. The listed phone number is (520) 220-5020.

What is Sandra Matheny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sandra Matheny enrolled in Medicare?

Yes. Sandra Matheny 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.

What insurance does Sandra Matheny accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Sandra Matheny 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 Sandra Matheny was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.