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DR. JANE M MATHISEN MD
NPI 1679632616
Psychiatry & Neurology - Psychiatry in Bala Cynwyd, PA

Active since December 06, 2006Opted out of Medicare · through Jan 1, 2027
1 BALA AVE, SUITE 118, BALA CYNWYD, PA 19004(610) 667-2557(610) 667-2445 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jane M Mathisen Md NPPES

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

DR. JANE M MATHISEN MD (NPI 1679632616) is an individual psychiatry provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (MD036291E) and active in the NPI registry since December 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679632616
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JANE M MATHISENCredential: MD
Location Address1 BALA AVE, SUITE 118Bala Cynwyd, PA 19004-3207
Mailing Address445 Rockland RdMerion Station, PA 19066-1354 · (610) 667-6806
Phone(610) 667-2557
Fax(610) 667-2445
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679632616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD036291E
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1 BALA AVE, Bala Cynwyd, PA 19004
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE52507

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jane M Mathisen Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

MR. MARK O'DWYER LPC
Counselor (Professional)
1 BALA AVE, SUITE 110
BALA CYNWYD, PA 19004
Montgomery County (484) 278-1849
DR. FRANI POLLACK LSW PHD MS
Psychologist
1 BALA AVE, BALA CHILD & FAMILY STE 125
BALA CYNWYD, PA 19004
Montgomery County (610) 667-7137
MS. SANDRA BLOCK STEIKER MSS,LCSW
Social Worker (Clinical)
1 BALA AVE, SUITE 216
BALA CYNWYD, PA 19004
Montgomery County (610) 664-8750
INTEGRATIVE PSYCHOLOGICAL & CONSULTING SERVICES
Community/Behavioral Health
1 BALA AVE, SUITE 110
BALA CYNWYD, PA 19004
Montgomery County (267) 252-3449
MS. MARILYN JOHNSON LCSW, ACSW
Social Worker (Clinical)
1 BALA AVE, 220
BALA CYNWYD, PA 19004
Montgomery County (610) 667-9960
DR. ROBERT L ZIFFER PH.D.
Psychologist (Clinical)
1 BALA AVE, SUITE 228
BALA CYNWYD, PA 19004
Montgomery County (610) 667-1665
PRESIDENTIAL MEDICAL ASSOCIATES PC
Internal Medicine
1 BALA AVE, SUITE 300
BALA CYNWYD, PA 19004
Montgomery County (215) 276-8788
ALPINE HOME CARE OF PA, LLC
In Home Supportive Care
1 BALA AVE, SUITE LL-3
BALA CYNWYD, PA 19004
Montgomery County (855) 325-7463

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 Jane Mathisen's NPI number?

The NPI number for Jane Mathisen is 1679632616. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Jane Mathisen located?

Jane Mathisen practices at 1 Bala Ave Suite 118, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-2557.

What is Jane Mathisen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jane Mathisen enrolled in Medicare?

No. Jane Mathisen has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jane Mathisen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.