1. Home
  2. Directory
  3. Missouri
  4. Bridgeton
  5. Nurse Practitioner
  6. NPI Profile

DANIELLE MATHIS MSN,APRN, FNP-BC
NPI 1205310950
Nurse Practitioner - Family in Bridgeton, MO

Active since September 19, 2018PECOS Enrolled
3440 DEPAUL LANE SUITE 201, BRIDGETON, MO 63044(314) 291-3312(314) 291-4641 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2019, Sep 19, 2018 (2 updates tracked since 2018).

About Danielle Mathis Msn,aprn, Fnp-bc NPPES

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

DANIELLE MATHIS MSN,APRN, FNP-BC (NPI 1205310950) is an individual family provider in Bridgeton, Missouri, licensed in Missouri (2011029608) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205310950
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE MATHISCredential: MSN,APRN, FNP-BC
Location Address3440 DEPAUL LANE SUITE 201Bridgeton, MO 63044
Mailing Address10004 Kennerly Rd Ste 137aSaint Louis, MO 63128-2140 · (314) 842-7301 · Fax (314) 842-7308
Phone(314) 291-3312
Fax(314) 291-4641
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration
✔ NPI 1205310950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2011029608
3440 DEPAUL LANE SUITE 201, Bridgeton, MO 63044
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Mathis Msn,aprn, Fnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Danielle Mathis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Louis Cancer Care, L.L.P.
17 mi
Hematology & Oncology
10004 KENNERLY RD STE 137A
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: St Louis Cancer Care LLP
  • 6 clinicians in this Medicare group
NPI 1932156726 (314) 842-7301

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 Danielle Mathis's NPI number?

The NPI number for Danielle Mathis is 1205310950. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Danielle Mathis located?

Danielle Mathis practices at 3440 Depaul Lane Suite 201, Bridgeton, MO 63044. The listed phone number is (314) 291-3312.

What is Danielle Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Danielle Mathis enrolled in Medicare?

Yes. Danielle Mathis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danielle Mathis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Mathis reassigns Medicare benefits to St. Louis Cancer Care, L.L.P. (Saint Louis, MO). The 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 Danielle Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danielle Mathis was last updated on August 14, 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.