DR. EMILIE CARSELL MATHIAS DNP
NPI 1659983856
Nurse Practitioner - Family in Decatur, GA

Active since August 19, 2020PECOS EnrolledAccepts Medicare Assignment
72.41/100
CMS Quality Rating
2208 N CROSSING WAY, DECATUR, GA 30033(413) 446-8016 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Emilie Carsell Mathias Dnp NPPES

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

DR. EMILIE CARSELL MATHIAS DNP (NPI 1659983856) is an individual family provider in Decatur, Georgia, licensed in Georgia (RN286163) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659983856
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. EMILIE CARSELL MATHIASCredential: DNP
Location Address2208 N CROSSING WAYDecatur, GA 30033-4175
Mailing Address2208 N Crossing WayDecatur, GA 30033-4175 · (413) 446-8016
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
NPI 1659983856 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 GA · RN286163
2208 N CROSSING WAY, Decatur, GA 30033

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

Dr. Emilie Carsell Mathias Dnp 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 ID6507259900
PECOS Enrollment IDI20220208000652
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 4

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.
433 services401 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
109 services101 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
93 services93 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

72.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.1
Promoting Interoperability78
Improvement Activities40
Cost67.26

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 Emilie Mathias's NPI number?

The NPI number for Emilie Mathias is 1659983856. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Emilie Mathias located?

Emilie Mathias practices at 2208 N Crossing Way, Decatur, GA 30033. The listed phone number is (413) 446-8016.

What is Emilie Mathias's specialty?

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

Is Emilie Mathias enrolled in Medicare?

Yes. Emilie 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.

What insurance does Emilie Mathias accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Emilie 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 Emilie Mathias affiliated with any hospitals?

According to CMS data, Emilie Mathias is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Emilie Mathias was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.