EMILY-ANN LAUREN MATHIS (FNP-C) – Family Nurse Practitioner, NPI 1164398871

EMILY-ANN LAUREN MATHIS (FNP-C) is a healthcare provider. based in Bandera, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1058764 (TX). The NPI Number for EMILY-ANN LAUREN MATHIS (FNP-C) is 1164398871

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
EMILY-ANN LAUREN MATHIS (FNP-C)
NPI
1164398871
Phone
(830) 796-7713
Address
1050 HWY 16 S
Enumeration Date
11 October 2025
Last Update Date
11 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8307967713
Graduation Year
2025 (1 year ago)
PAC ID
6406345065
Group Practice PAC ID
5294714580
Professional Enrollment ID
I20251103000835
Address ID
TX780034830BA1050XSXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for EMILY-ANN LAUREN MATHIS (FNP-C)

  • 1050 HWY 16 S

    BANDERA, TX 780034830

    Phone: (830) 796-7713

    Mailing address matches the actual address.

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: 2025-11-03

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
I20251103000835INurse PractitionerTXTBD

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 78003)

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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: 5294714580View full group profile
NameSpecialtyState
Physician AssistantTX
-TX
Physician AssistantTX
Internal MedicineTX
Physician AssistantTX
Physician AssistantTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

What is the standard ID for EMILY-ANN LAUREN MATHIS (FNP-C) in the U.S.?
In the U.S., EMILY-ANN LAUREN MATHIS (FNP-C) is identified by NPI 1164398871.
Should I treat EMILY-ANN LAUREN MATHIS (FNP-C) as an active provider?
Patients and plans typically see EMILY-ANN LAUREN MATHIS (FNP-C) as active in the national extract.
What type of care does EMILY-ANN LAUREN MATHIS (FNP-C) provide?
EMILY-ANN LAUREN MATHIS (FNP-C)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to EMILY-ANN LAUREN MATHIS (FNP-C)?
The directory associates EMILY-ANN LAUREN MATHIS (FNP-C) with Bandera, Texas. Check all listed addresses for suites or satellite offices.
Who maintains EMILY-ANN LAUREN MATHIS (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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