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JACKIE MAE MATHEWS
NPI 1679461081
Nurse Practitioner - Neonatal in La Crosse, WI

Active since June 25, 2025PECOS EnrolledAccepts Medicare Assignment
1900 SOUTH AVE, LA CROSSE, WI 54601(608) 775-3375 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Mae Mathews NPPES

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

JACKIE MAE MATHEWS (NPI 1679461081) is an individual neonatal provider in La Crosse, Wisconsin, licensed in Wisconsin (16966-33) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2025).

NPPES Registry Identity

NPI1679461081
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameJACKIE MAE MATHEWS
Location Address1900 SOUTH AVELa Crosse, WI 54601-5467
Mailing Address17208 Kendall AveNorwalk, WI 54648-7002 · (608) 633-5384
Phone(608) 775-3375
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2025
Enumeration DateJune 25, 2025
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1679461081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in WI · 16966-33
1900 SOUTH AVE, La Crosse, WI 54601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jackie Mae 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 ID2466950720
PECOS Enrollment IDI20250807001252
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 54601 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

ERIC JOHNSON
Pharmacist
1900 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 775-0520
ASHLEY RICKAWAY
Occupational Therapist
1900 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
MICHAELA PETTIT PHARMD
Pharmacist
1900 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
KJERSTEN RENAE FOLSTAD APRN
Nurse Practitioner (Family)
1900 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (507) 429-1509
DR. HEATHER JO WICHMAN M.D.
Radiology (Vascular & Interventional Radiology)
1900 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 775-6569
AMBER THIEDE RN
Registered Nurse (Oncology)
1900 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 387-4108
SARAH E GRABOSKI MS CCC-SLP
Speech-Language Pathologist
1900 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (920) 412-8047
JEFFREY P REILAND CADC
Counselor (Professional)
1900 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 775-2287

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 Jackie Mathews's NPI number?

The NPI number for Jackie Mathews is 1679461081. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Jackie Mathews located?

Jackie Mathews practices at 1900 South Ave, La Crosse, WI 54601. The listed phone number is (608) 775-3375.

What is Jackie Mathews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Jackie Mathews enrolled in Medicare?

Yes. Jackie 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.

What insurance does Jackie Mathews accept?

Health plans from Anthem Blue Cross and Blue Shield list Jackie 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 Jackie Mathews was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.