CAROL GENE MATHEWS
NPI 1477267193
Nurse Practitioner - Psychiatric/Mental Health in Springdale, AR

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment
609 W MAPLE AVE, SPRINGDALE, AR 72764(870) 283-9746 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2023, Jan 9, 2023 (2 updates tracked since 2023).

About Carol Gene Mathews NPPES

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

CAROL GENE MATHEWS (NPI 1477267193) is an individual psychiatric/mental health provider in Springdale, Arkansas, licensed in Arkansas (222605) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477267193
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROL GENE MATHEWS
Location Address609 W MAPLE AVESpringdale, AR 72764-5335
Mailing Address24 Park DrSidney, AR 72577-5001 · (870) 283-9746
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 9, 2023
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1477267193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · 222605
609 W MAPLE AVE, Springdale, AR 72764

Accepted 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

Carol Gene Mathews 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 ID4981061587
PECOS Enrollment IDI20230612003175
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

5

Medicare enrollment records show Carol Mathews reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1216 TWIN LAKES DR
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 35 clinicians in this Medicare group
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Arkansas enrollment
  • 150 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
Psychiatry
233 WINTON BLOUNT LOOP
Montgomery, AL 36117
  • Reassigned Medicare billing, Arkansas enrollment
  • 9 clinicians in this Medicare group

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 5

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, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407
A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.
193 services57 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
55 services18 patients
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.
45 services22 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.
36 services26 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
22 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72764 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Registered Nurse (Emergency)
609 W MAPLE AVE
SPRINGDALE, AR 72764
Nurse Practitioner (Family)
609 W MAPLE AVE
SPRINGDALE, AR 72764
Emergency Medicine
609 W MAPLE AVE
SPRINGDALE, AR 72764
Nurse Practitioner (Family)
609 W MAPLE AVE
SPRINGDALE, AR 72764
Nurse Anesthetist, Certified Registered
609 W MAPLE AVE
SPRINGDALE, AR 72764
Nurse Anesthetist, Certified Registered
609 W MAPLE AVE
SPRINGDALE, AR 72764
Emergency Medicine
609 W MAPLE AVE
SPRINGDALE, AR 72764
Anesthesiology
609 W MAPLE AVE
SPRINGDALE, AR 72764

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 Carol Mathews's NPI number?

The NPI number for Carol Mathews is 1477267193. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Carol Mathews located?

Carol Mathews practices at 609 W Maple Ave, Springdale, AR 72764. The listed phone number is (870) 283-9746.

What is Carol Mathews's specialty?

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

Is Carol Mathews enrolled in Medicare?

Yes. Carol Mathews 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 Carol Mathews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Mathews reassigns Medicare benefits to 5 organizations: Forefront-Rush Medical Services PC (Little Rock, AR), Access Telecare, PLLC (Dallas, TX), Psychiatry Of Texas PLLC (Houston, TX), Psychplus Medical Associates, PLLC (Houston, TX) and River Region Psychiatry Associates LLC (Montgomery, AL). 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 Carol Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Mathews accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Carol Mathews 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.

When was this NPI record last updated?

The NPPES record for Carol Mathews was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.