MRS. JESSICA ELIZABETH MATHIESON (P.A.) – Medical Physician Assistant, NPI 1013209360

MRS. JESSICA ELIZABETH MATHIESON (P.A.) is a healthcare provider. based in Secane, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. MA054816 (PA). The NPI Number for MRS. JESSICA ELIZABETH MATHIESON (P.A.) is 1013209360

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA ELIZABETH MATHIESON (P.A.)
NPI
1013209360
Phone
(610) 764-7178
Address
941 SOUTH AVE
Enumeration Date
4 May 2011
Last Update Date
30 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6106446755
Graduation Year
2010 (16 years ago)
PAC ID
1456867175
Group Practice PAC ID
4688575434
Professional Enrollment ID
I20250721001761
Address ID
PA190083518BR1991XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for MRS. JESSICA ELIZABETH MATHIESON (P.A.)

  • 941 SOUTH AVE

    APT A29

    SECANE, PA 190183431

    Phone: (610) 764-7178

    Type: Mailing

  • 30 MEDICAL CENTER BLVD

    POB #1 - SUITE 305

    CHESTER, PA 190133955

    Phone: (610) 447-6021

    Fax: (610) 447-2179

    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: 2025-07-21

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
I20250721001761IPhysician AssistantPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19018)

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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: 4688575434View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
-PA
Physician AssistantMD
Physician AssistantPA
Physician AssistantPA
-PA
General SurgeryPA
Physician AssistantPA

Reviews

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Frequently asked questions

Is MRS. JESSICA ELIZABETH MATHIESON (P.A.) listed with a National Provider Identifier?
Yes — MRS. JESSICA ELIZABETH MATHIESON (P.A.) has NPI 1013209360 on file in the registry.
Would MRS. JESSICA ELIZABETH MATHIESON (P.A.) appear as active to a payer?
You can treat MRS. JESSICA ELIZABETH MATHIESON (P.A.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. JESSICA ELIZABETH MATHIESON (P.A.)?
MRS. JESSICA ELIZABETH MATHIESON (P.A.)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. JESSICA ELIZABETH MATHIESON (P.A.)?
Directory geography for MRS. JESSICA ELIZABETH MATHIESON (P.A.) centers on Secane, Pennsylvania.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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