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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTIE CHILDRESS PA-C
NPI 1811880545
Physician Assistant - Surgical in Austin, TX

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment
4101 JAMES CASEY ST STE 340, AUSTIN, TX 78745(512) 687-1300(512) 822-7567 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Nov 23, 2025, Jun 2, 2025 (3 updates tracked since 2025).

About Mattie Childress Pa-c NPPES

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

MATTIE CHILDRESS PA-C (NPI 1811880545) is an individual surgical provider in Austin, Texas, licensed in Texas (PA20720) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains a secondary practice location in Round Rock.

NPPES Registry Identity

NPI1811880545
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMATTIE CHILDRESSCredential: PA-C
Location Address4101 JAMES CASEY ST STE 340Austin, TX 78745-1145
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-0813
Phone(512) 687-1300
Fax(512) 822-7567
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 2, 2025
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1811880545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA20720
Also ListedPhysician AssistantTaxonomy 363A00000X · License TC110 (KY)
4101 JAMES CASEY ST STE 340, Austin, TX 78745
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Other Names 1

Former Name (1)Mattie Klein Pa

Secondary Practice Location 1

Location 12410 Round Rock Ave Ste 150Round Rock, TX 78681-4019 · Phone (512) 421-4250 · Fax (512) 341-9440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.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

Mattie Childress Pa-c 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 ID244733384
PECOS Enrollment IDI20250912003535
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.

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

MATTHEW A GAUDET M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4101 JAMES CASEY ST STE 340
AUSTIN, TX 78745
Travis County (512) 687-1300
DR. CALVIN MICHAEL COOPER M.D.
Neurological Surgery
4101 JAMES CASEY ST STE 340
AUSTIN, TX 78745
Travis County (512) 306-1323

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 Mattie Childress's NPI number?

The NPI number for Mattie Childress is 1811880545. It was assigned to this individual provider in the NPPES registry on June 2, 2025. The provider is also known as Mattie Klein PA.

Where is Mattie Childress located?

Mattie Childress practices at 4101 James Casey St Ste 340, Austin, TX 78745. The listed phone number is (512) 687-1300.

What is Mattie Childress's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mattie Childress enrolled in Medicare?

Yes. Mattie Childress 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 Mattie Childress accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Oscar Insurance Company list Mattie Childress 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 Mattie Childress affiliated with any hospitals?

According to CMS data, Mattie Childress is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Mattie Childress was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.