MATHIS HEALTH & WELLNESS CLINIC
NPI 1942971353
Family Medicine in Mathis, TX
About Mathis Health & Wellness Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATHIS HEALTH & WELLNESS CLINIC (NPI 1942971353) is a healthcare organization registered as a family medicine in Mathis, Texas and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Petra Deleon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mathis Health & Wellness Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mathis Health & Wellness Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2228722
Mathis Health & Wellness Clinic · Mathis, TXFrequently 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 Mathis Health & Wellness Clinic's NPI number?
The NPI number for Mathis Health & Wellness Clinic is 1942971353. It was assigned to this organization in the NPPES registry on September 24, 2021.
Where is Mathis Health & Wellness Clinic located?
Mathis Health & Wellness Clinic is located at 1205 E San Patricio Ave, Mathis, TX 78368. The listed phone number is (361) 453-4470.
What is Mathis Health & Wellness Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mathis Health & Wellness Clinic enrolled in Medicare?
Yes. Mathis Health & Wellness Clinic is registered in the Medicare PECOS enrollment system.
When is Mathis Health & Wellness Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mathis Health & Wellness Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mathis Health & Wellness Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mathis Health & Wellness Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2228722) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mathis Health & Wellness Clinic accept?
Health plans from Blue Cross and Blue Shield of Texas list Mathis Health & Wellness Clinic 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 Mathis Health & Wellness Clinic was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mathis Health & Wellness Clinic · NPI 1942971353
Family Medicine organization in Mathis, Texas. Organization record, active in the CMS NPPES registry since September 24, 2021.
## Identity
- **NPI:** 1942971353 (Entity type: Organization)
- **Enumerated:** September 24, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Mathis Health & Wellness Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Petra Deleon, OWNER
## Practice location
- **Address:** 1205 E SAN PATRICIO AVE, Mathis, TX 78368-2402
- **Phone:** (361) 453-4470 · **Fax:** (800) 621-5209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942971353) · Data from the CMS NPPES public registry.