DONNA MATHIS FNP
NPI 1467454413
Nurse Practitioner - Family in Price, UT

Active since June 02, 2005PECOS EnrolledAccepts Medicare Assignment
280 N HOSPITAL DR, STE 3, PRICE, UT 84501(435) 637-6348(435) 637-6422 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donna Mathis Fnp NPPES

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

DONNA MATHIS FNP (NPI 1467454413) is an individual family provider in Price, Utah, licensed in Utah (2094274405) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Castleview Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1467454413
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONNA MATHISCredential: FNP
Location Address280 N HOSPITAL DR, STE 3Price, UT 84501-4216
Mailing Address280 N Hospital Dr, Suite 3Price, UT 84501-4216 · (435) 637-6348 · Fax (435) 637-6422
Fax(435) 637-6422
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 2, 2005
Last NPPES UpdateMay 14, 2008
NPI 1467454413 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 UT · 2094274405
280 N HOSPITAL DR, Price, UT 84501

Other Identifiers 3

Medicare PIN005712602UT
Medicare UPINP99642UT
OtherDD8580UT · Palmetto Gba- Railroad Medicare

Accepted 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

Donna Mathis Fnp 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 ID4082528294
PECOS Enrollment IDI20031112000776
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.
35 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84501 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers62 claims98 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims11 services$0.82 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers19 claims19 services$45.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers26 claims26 services$107.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers26 claims75 services$40.78 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers23 claims23 services$23.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Orthopaedic Surgery
280 N HOSPITAL DR, SUITE # 3
PRICE, UT 84501
Obstetrics & Gynecology
280 N HOSPITAL DR, SUITE # 2
PRICE, UT 84501
Surgery
280 N HOSPITAL DR, SUITE # 5
PRICE, UT 84501
Orthopaedic Surgery
280 N HOSPITAL DR, SUITE #3
PRICE, UT 84501
Orthopaedic Surgery
280 N HOSPITAL DR
PRICE, UT 84501
Obstetrics & Gynecology
280 N HOSPITAL DR, SUITE 2
PRICE, UT 84501
Obstetrics & Gynecology
280 N HOSPITAL DR, SUITE 2
PRICE, UT 84501
Family Medicine
280 N HOSPITAL DR, SUITE # 4
PRICE, UT 84501

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 Donna Mathis's NPI number?

The NPI number for Donna Mathis is 1467454413. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Where is Donna Mathis located?

Donna Mathis practices at 280 N Hospital Dr Ste 3, Price, UT 84501. The listed phone number is (435) 637-6348.

What is Donna Mathis's specialty?

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

Is Donna Mathis enrolled in Medicare?

Yes. Donna Mathis 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 Donna Mathis accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Donna Mathis 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 Donna Mathis affiliated with any hospitals?

According to CMS data, Donna Mathis is affiliated with Castleview Hospital.

When was this NPI record last updated?

The NPPES record for Donna Mathis was last updated on May 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.