JENNIFER MATHIS MD
NPI 1548304892
Preventive Medicine - Addiction Medicine in Tahlequah, OK

Active since February 19, 2007PECOS Enrolled
1400 E DOWNING ST, TAHLEQUAH, OK 74464(918) 456-0641 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 26, 2026, Jun 23, 2021, Jul 17, 2019 (3 updates tracked since 2019).

About Jennifer Mathis Md NPPES

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

JENNIFER MATHIS MD (NPI 1548304892) is an individual addiction medicine provider in Tahlequah, Oklahoma, licensed in Oklahoma (25428) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548304892
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameJENNIFER MATHISCredential: MD
Location Address1400 E DOWNING STTahlequah, OK 74464-3324
Mailing Address1400 E Downing StTahlequah, OK 74464-3324 · (918) 456-0641 · Fax (918) 453-2341
Sole ProprietorNo
Enumeration DateFebruary 19, 2007
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1548304892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in OK · 25428
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 54065 (AZ)
Also ListedInternal MedicineTaxonomy 207R00000X · License 25428 (OK)
1400 E DOWNING ST, Tahlequah, OK 74464

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 (PECOS)

Jennifer Mathis Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
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.

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.

General Acute Care Hospital
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Hospitalist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physician Assistant (Medical)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
General Practice
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Nurse Anesthetist, Certified Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Internal Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Pharmacist
1400 E DOWNING ST
TAHLEQUAH, OK 74464

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 Jennifer Mathis's NPI number?

The NPI number for Jennifer Mathis is 1548304892. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Jennifer Mathis located?

Jennifer Mathis practices at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-0641.

What is Jennifer Mathis's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Jennifer Mathis enrolled in Medicare?

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

What insurance does Jennifer Mathis accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Mathis was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.