JESSICA LYNN MATHENIA PA-C NPI 1568747822

NPI Information

  • NPI: 1568747822
  • Provider Name: JESSICA LYNN MATHENIA, PA-C
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6500 RED HOOK PLAZA
    SUITE 205
    ST THOMAS, VI
    ZIP 00802
  • Phone: (340) 775-2303

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NPI Details

Jessica Lynn Mathenia, PA-C is a family medicine in St Thomas, VI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jessica Lynn Mathenia, PA-C NPI is 1568747822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6500 RED HOOK PLAZA
SUITE 205
ST THOMAS, VI
ZIP 00802
Phone: (340) 775-2303

The NPI 1568747822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 10/19/2011 and was last updated on 9/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant085004185ILLINOISNo
2363AM0700XPhysician AssistantMedical085004185ILLINOISNo
3207Q00000XFamily Medicine106VIRGIN ISLANDSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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