Audrey A Mathis, NP - Medicare Nurse Practitioner in Fayetteville, NY

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Audrey A Mathis, NP is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, New York. She went to University Of Rochester School Of Medicine And Dentistry and graduated in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Crouse Health Hospital Inc and her current practice location is 4103 Medical Center Dr, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 637-7800.

Audrey A Mathis is licensed to practice in New York (license number F332143) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740283829.

Contact Information

Audrey A Mathis, NP
4103 Medical Center Dr,
Fayetteville, NY 13066-6600
(315) 637-7800
(315) 637-7808

Map and Direction




Provider's Profile

Full NameAudrey A Mathis
GenderFemale
SpecialityNurse Practitioner
Experience26 Years
Location4103 Medical Center Dr, Fayetteville, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Audrey A Mathis attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1998
  NPI Data:
  • NPI Number: 1740283829
  • Provider Enumeration Date: 05/23/2005
  • Last Update Date: 11/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0042268179
  • Enrollment ID: I20050105000898

Medical Identifiers

Medical identifiers for Audrey A Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740283829NPI-NPPES
02119060MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 320426 (New York)Secondary
363LF0000XNurse Practitioner - Family F332143 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crouse HospitalSyracuse, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crouse Health Hospital Inc9739173774110

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Audrey A Mathis allows following entities to bill medicare on her behalf.
Entity NameCrouse Health Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841340205
PECOS PAC ID: 9739173774
Enrollment ID: O20040413000018
Entity NameEmergency Care Services Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639236656
PECOS PAC ID: 3678678646
Enrollment ID: O20070419000474
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey A Mathis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Audrey A Mathis, NP
4103 Medical Center Dr,
Fayetteville, NY 13066-6600

Ph: (315) 637-7800		Audrey A Mathis, NP
4103 Medical Center Dr,
Fayetteville, NY 13066-6600

Ph: (315) 637-7800

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, NY

Mary Oot, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 510 Towne Dr, Fayetteville, NY 13066
Phone: 315-663-0500    
Ms. Hannah Joan Walsh, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066
Phone: 315-637-7878    
Theresa Baxter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 221 Hunt Dr, Fayetteville, NY 13066
Phone: 315-637-8148    
Jayme K Schreck, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 510 Towne Dr, Fayetteville, NY 13066
Phone: 315-663-0500    Fax: 315-663-0514
Taylor Fisher,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6870 E Genesee St, Fayetteville, NY 13066
Phone: 315-679-4367    
Mrs. Jenaye Karin Broe, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4000 Medical Center Dr Ste 110, Fayetteville, NY 13066
Phone: 315-663-0100    
Kathleen Judith Hergert, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 510 Towne Dr, Fayetteville, NY 13066
Phone: 315-627-0448    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.