SEAN E MATHIS PNP
NPI 1962158550
Nurse Practitioner - Pediatrics, Critical Care in Washington, DC

Active since February 23, 2022PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sean E Mathis Pnp NPPES

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

SEAN E MATHIS PNP (NPI 1962158550) is an individual pediatrics, critical care provider in Washington, District Of Columbia, licensed in District Of Columbia (NP1041339) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962158550
Entity TypeIndividualMale
Primary Taxonomy363LP0222X
Provider Legal NameSEAN E MATHISCredential: PNP
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address1391 Pennsylvania Ave Se Unit 541Washington, DC 20003-3091 · (314) 805-3526
Sole ProprietorNo
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 22, 2022
NPI 1962158550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License Licensed in DC · NP1041339
111 MICHIGAN AVE NW, Washington, DC 20010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sean E Mathis Pnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Sean Mathis's NPI number?

The NPI number for Sean Mathis is 1962158550. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Where is Sean Mathis located?

Sean Mathis practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

What is Sean Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Sean Mathis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sean Mathis was last updated on February 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.