MR. KEVAN LEWIS MATHIS PA-C
NPI 1982459368
Physician Assistant - Medical in Marysville, CA

Q: What is Kevan Mathis's NPI number?

The NPI number for Kevan Mathis is 1982459368. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Q: What is Kevan Mathis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kevan Mathis was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 19, 2024PECOS Enrolled

726 4TH ST, MARYSVILLE, CA 95901(530) 749-4300 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Apr 19, 2024 (2 updates tracked since 2024).

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About Mr. Kevan Lewis Mathis Pa-c NPPES

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

MR. KEVAN LEWIS MATHIS PA-C (NPI 1982459368) is an individual medical provider in Marysville, California, licensed in California (PA67735) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982459368

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. KEVAN LEWIS MATHISCredential: PA-C

Location Address726 4TH STMarysville, CA 95901-5656

Mailing Address525 Peerless Way Apt 1Tracy, CA 95376-5129 · (925) 344-6343

Phone(530) 749-4300

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 19, 2024

Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1982459368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA67735

726 4TH ST, Marysville, CA 95901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevan Lewis Mathis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42789075

PECOS Enrollment IDI20260519002219

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.

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.

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