ANDREA W MATHIASON (FNP-C) – Family Nurse Practitioner, NPI 1033489448

ANDREA W MATHIASON (FNP-C) is a healthcare provider. based in Glendale, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP4310 (AZ). The NPI Number for ANDREA W MATHIASON (FNP-C) is 1033489448

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA W MATHIASON (FNP-C)
NPI
1033489448
Phone
(623) 581-8998
Address
19875 N 51ST AVE
Enumeration Date
3 January 2012
Last Update Date
1 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6233278800
Graduation Year
2011 (15 years ago)
PAC ID
7618136417
Group Practice PAC ID
6406020155
Professional Enrollment ID
I20120314000784
Address ID
AZ853832092PE28471BLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

7,504 NURSE PRACTITIONER in AZ

Provider Addresses for ANDREA W MATHIASON (FNP-C)

  • 19875 N 51ST AVE

    GLENDALE, AZ 853085114

    Phone: (623) 581-8998

    Fax: (623) 581-6461

    Type: Mailing

  • 28471 N VISTANCIA BLVD STE 102

    PEORIA, AZ 853832092

    Phone: (623) 327-8800

    Fax: (623) 327-8806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120314000784INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes179113$0
99213Established patient office or other outpatient visit, 20-29 minutes139106$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5858$0
G0008Administration of influenza virus vaccine3535$0
90662Influenza vaccine split virus, preservative free3434$0
View full utilization report →

Insurance plans in this area (ZIP 85308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406020155View full group profile

Reviews

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Frequently asked questions

How is ANDREA W MATHIASON (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists ANDREA W MATHIASON (FNP-C) with NPI 1033489448.
Can I rely on ANDREA W MATHIASON (FNP-C) being an active provider?
As of the registry snapshot, ANDREA W MATHIASON (FNP-C) is marked active.
What is ANDREA W MATHIASON (FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for ANDREA W MATHIASON (FNP-C) here. Clinical services aligned with this taxonomy classification.
What area does ANDREA W MATHIASON (FNP-C) serve?
ANDREA W MATHIASON (FNP-C)'s listing highlights Glendale, Arizona; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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