AUDREY A MATHIS NP
NPI 1740283829
Nurse Practitioner - Family in Fayetteville, NY

Q: What is Audrey Mathis's NPI number?

The NPI number for Audrey Mathis is 1740283829. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Audrey Mathis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Audrey Mathis was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 23, 2005PECOS Enrolled

4103 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066(315) 637-7800(315) 637-7808 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Audrey A Mathis Np NPPES

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

AUDREY A MATHIS NP (NPI 1740283829) is an individual family provider in Fayetteville, New York, licensed in New York (F332143) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740283829

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAUDREY A MATHISCredential: NP

Location Address4103 MEDICAL CENTER DRFayetteville, NY 13066-6600

Mailing Address4103 Medical Center DrFayetteville, NY 13066-6600 · (315) 637-7800 · Fax (315) 637-7808

Phone(315) 637-7800

Fax(315) 637-7808

Sole ProprietorNo

Enumeration DateMay 23, 2005

Last NPPES UpdateNovember 22, 2011

✔ NPI 1740283829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F332143

Also ListedRegistered NurseTaxonomy 163W00000X · License 320426 (NY)

4103 MEDICAL CENTER DR, Fayetteville, NY 13066

Open in Google Maps ↗

Other Identifiers 4

Medicare PINJ400003504NY

Medicaid02119060NY

Medicare UPINS94076

Medicare PINJ400037457NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey A Mathis Np 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.

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.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

80 services63 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

73 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

53 services52 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Leave this field empty

Other Providers at the Same Location NPPES 7

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

STEPHEN J JACKOWSKI RPA

Physician Assistant (Medical)