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MS. KAREN KELLEY MATHIS PAC
NPI 1679504492
Physician Assistant - Medical in Lake Wales, FL

Active since July 06, 2006PECOS Enrolled
1354 STATE ROAD 60 E, LAKE WALES, FL 33853(863) 679-8888(863) 676-2851 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Karen Kelley Mathis Pac NPPES

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

MS. KAREN KELLEY MATHIS PAC (NPI 1679504492) is an individual medical provider in Lake Wales, Florida, licensed in Florida (PA9103274) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679504492
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KAREN KELLEY MATHISCredential: PAC
Location Address1354 STATE ROAD 60 ELake Wales, FL 33853-4322
Mailing Address1354 State Road 60 ELake Wales, FL 33853-4322 · (863) 679-8888 · Fax (863) 676-2851
Phone(863) 679-8888
Fax(863) 676-2851
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 5, 2013
✔ NPI 1679504492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9103274
1354 STATE ROAD 60 E, Lake Wales, FL 33853
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Other Names 1

Other Name (5)Karen Kay Mathis

Other Identifiers 4

Medicare UPINQ19451
Medicaid292213400FL
Other1679504492FL · Npi
Medicare PINU5571YFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Karen Kelley Mathis Pac 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.

Other Providers at the Same Location NPPES 4

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

MATTHEW WILLIAM SPRUNT PA-C
Physician Assistant
1354 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 679-8888
HEARTLAND PEDIATRICS OF LAKE WALES, LLC
Pediatrics
1354 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 679-8888
STACY TESTA PA-C
Physician Assistant
1354 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 679-8888
DR. RAJESWARI S SONNI M.D.
Pediatrics
1354 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 382-0566

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 Karen Mathis's NPI number?

The NPI number for Karen Mathis is 1679504492. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as Karen Kay Mathis.

Where is Karen Mathis located?

Karen Mathis practices at 1354 State Road 60 E, Lake Wales, FL 33853. The listed phone number is (863) 679-8888.

What is Karen Mathis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Karen Mathis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Karen Mathis was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.