KAITLIN NICOLE MATHEW AGACNP
NPI 1336641703
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Kaitlin Mathew's NPI number?

The NPI number for Kaitlin Mathew is 1336641703. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Q: What is Kaitlin Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Mathew was last updated on May 28, 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 March 01, 2018PECOS EnrolledAccepts Medicare Assignment

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681(214) 960-5681 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2018, Mar 1, 2018 (2 updates tracked since 2018).

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About Kaitlin Nicole Mathew Agacnp NPPES

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

KAITLIN NICOLE MATHEW AGACNP (NPI 1336641703) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP136814) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336641703

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKAITLIN NICOLE MATHEWCredential: AGACNP

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing Address221 W Colorado Blvd Ste 525Dallas, TX 75208-2312 · (214) 960-5681 · Fax (214) 960-5681

Phone(214) 960-5681

Fax(214) 960-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 1, 2018

Last NPPES UpdateMay 28, 20242 updates tracked since enumeration

NPPES CertifiedMay 28, 2024

✔ NPI 1336641703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP136814

221 W COLORADO BLVD STE 525, Dallas, TX 75208

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Secondary Practice Location 1

Location 11441 N Beckley AveDallas, TX 75203-1201 · Phone (214) 947-1818

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Kaitlin Nicole Mathew Agacnp 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 ID9335481167

PECOS Enrollment IDI20190429000068

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 20

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

JACQUELINE NICOLE HORST M.D.

Internal Medicine (Pulmonary Disease)