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MRS. ANISA LEE MATHIS PA-C
NPI 1285640813
Physician Assistant - Medical in Hurlburt Field, FL

Active since August 01, 2006PECOS Enrolled
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544(850) 881-5221(850) 881-5832 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Anisa Lee Mathis Pa-c NPPES

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

MRS. ANISA LEE MATHIS PA-C (NPI 1285640813) is an individual medical provider in Hurlburt Field, Florida, licensed in Florida (PA9102039) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285640813
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ANISA LEE MATHISCredential: PA-C
Location Address113 LIELMANIS AVEHurlburt Field, FL 32544-5613
Mailing Address113 Lielmanis AveHurlburt Field, FL 32544-5613 · (850) 881-2337 · Fax (850) 881-2323
Phone(850) 881-5221
Fax(850) 881-5832
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1285640813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9102039
113 LIELMANIS AVE, Hurlburt Field, FL 32544
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Anisa Michelle Lee Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Anisa Lee Mathis Pa-c 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.

JOSE ENCARNACION LUCIO
Technician, Other
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5855
DR. DON VONGVIPHUT DO
General Practice
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1020
DERICK MAYBERRY DDS
Dentist (Periodontics)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-2000
DR. ROBERT KESEAD JR. O.D.
Optometrist
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 883-3187
MS. DEBORAH K LANIUS MSN FNP
Nurse Practitioner (Family)
113 LIELMANIS AVE, 1 SOMDG
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5221
WENDY S BORN CNP
Nurse Practitioner (Family)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1257
BRITTON ADAMS IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 884-1206
MRS. LISA MCFARLAND IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 621-2865

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 Anisa Mathis's NPI number?

The NPI number for Anisa Mathis is 1285640813. It was assigned to this individual provider in the NPPES registry on August 1, 2006. The provider is also known as Miss Anisa Michelle Lee Pa-C.

Where is Anisa Mathis located?

Anisa Mathis practices at 113 Lielmanis Ave, Hurlburt Field, FL 32544. The listed phone number is (850) 881-5221.

What is Anisa Mathis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Anisa Mathis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Anisa Mathis was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.