JESSICA LYNN MATHENIA (PA-C) – Family Medicine Physician, NPI 1568747822
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JESSICA LYNN MATHENIA (PA-C)
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384693
Phone: (217) 238-6055
Type: Mailing
200 DETTRO DR
MATTOON, IL 619389003
Phone: (217) 238-3000
Fax: (217) 238-3008
Type: Location
5000 ESTATE ENIGHED
PMB 214
ST JOHN, VI 00830
Phone:
Type: Mailing
901 E Brady St
Butler, PA 160014648
Phone: (724) 285-9200
Type: Location
6500 RED HOOK PLAZA
SUITE 205
ST THOMAS, VI 00802
Phone: (340) 775-2303
Type: Location
PO BOX 155
CHRISTOPHER, IL 628220155
Phone:
Type: Mailing
14410 ROUTE 37
JOHNSTON CITY, IL 629513166
Phone: (618) 983-6911
Fax: (618) 983-6913
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Astellas Pharma US Inc ($103).
Total Amount
$103
General + Research + Ownership
Payments
1
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $103 |
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: 2025-04-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250416001811 | I | Physician Assistant | VI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 13 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61938)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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