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ASHLEY MATHIAS AGNP, PMHNP-BC
NPI 1326588526
Nurse Practitioner - Psychiatric/Mental Health in Oklahoma City, OK

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
11621 N SANTA FE AVE STE A6, OKLAHOMA CITY, OK 73114(918) 810-9118 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 4, 2025, Aug 23, 2019 (2 updates tracked since 2019).

About Ashley Mathias Agnp, Pmhnp-bc NPPES

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

ASHLEY MATHIAS AGNP, PMHNP-BC (NPI 1326588526) is an individual psychiatric/mental health provider in Oklahoma City, Oklahoma, licensed in Kansas (53-78162-072) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Jefferson County Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1326588526
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameASHLEY MATHIASCredential: AGNP, PMHNP-BC
Location Address11621 N SANTA FE AVE STE A6Oklahoma City, OK 73114-8121
Mailing Address1509 Nw 198th StEdmond, OK 73012-3465 · (918) 810-9118
Phone(918) 810-9118
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 7, 2017
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1326588526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KS · 53-78162-072
Also ListedNurse PractitionerTaxonomy 363L00000X · License 78162 (KS), 105746 (OK)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG02170049 (TX)
11621 N SANTA FE AVE STE A6, Oklahoma City, OK 73114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Oscar Insurance Company 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

Ashley Mathias Agnp, Pmhnp-bc 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 ID5294012928
PECOS Enrollment IDI20170508001066, I20181018001811, I20210111000875
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

7

Medicare enrollment records show Ashley Mathias reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ok Psych Np LLC
6.1 mi
Psychiatric/Mental Health
1509 NW 198TH ST
Edmond, OK 73012
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1972281574 (918) 810-9118
Duncan Regional Hospital, Inc
102 mi
Family Medicine
9170 US HIGHWAY 70
Waurika, OK 73573
  • Reassigned Medicare billing, Oklahoma enrollment
  • 77 clinicians in this Medicare group
NPI 1699318147 (580) 228-2344
Access Telecare, PLLC
198 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Arkansas enrollment
  • 150 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540
Ap Us 14, PA
198 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Kansas enrollment
  • 82 clinicians in this Medicare group
NPI 1902415904 (972) 449-0540
Forefront-Rosenzweig Medical Services Professional Corporation
198 mi
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Kansas enrollment
  • 16 clinicians in this Medicare group
NPI 1588101745 (972) 449-0540
Forefront-Rush Medical Service PA
250 mi
Psychiatry
1901 MEDI PARK DR STE 2058
Amarillo, TX 79106
  • Reassigned Medicare billing, Oklahoma enrollment
  • 17 clinicians in this Medicare group
NPI 1083036651 (254) 624-3999
Forefront-Rush Medical Services PC
296 mi
Psychiatry
1216 TWIN LAKES DR
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 35 clinicians in this Medicare group
NPI 1588152649 (510) 201-0190

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 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.

Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
194 services44 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Jefferson County Hospital

Critical Access Hospitals · Waurika, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371311
LocationIntersection Hyws 81 & 70Waurika, OK 73573 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73114 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

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 Ashley Mathias's NPI number?

The NPI number for Ashley Mathias is 1326588526. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Where is Ashley Mathias located?

Ashley Mathias practices at 11621 N Santa Fe Ave Ste A6, Oklahoma City, OK 73114. The listed phone number is (918) 810-9118.

What is Ashley Mathias's specialty?

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

Is Ashley Mathias enrolled in Medicare?

Yes. Ashley Mathias 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 Ashley Mathias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Mathias reassigns Medicare benefits to 7 organizations: Ok Psych Np LLC (Edmond, OK), Duncan Regional Hospital, Inc (Waurika, OK), Access Telecare, PLLC (Dallas, TX), Ap Us 14, PA (Dallas, TX), Forefront-Rosenzweig Medical Services Professional Corporation (Dallas, TX) and 2 more organizations, listed in the Medicare section above. 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 Ashley Mathias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Mathias accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Oscar Insurance Company and UnitedHealthcare list Ashley Mathias 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 Ashley Mathias affiliated with any hospitals?

According to CMS data, Ashley Mathias is affiliated with Jefferson County Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Mathias was last updated on June 4, 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.