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Active NPI 1497279046 Individual Practitioner Female Practitioner

Adrienne N Mathis , PA

Physician Assistant • Bloomington, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Adrienne Mathis, PA is a certified Physician Assistant practicing in Bloomington, IN. With approximately 9 years of clinical experience since completing medical education in 2017, Adrienne Mathis delivers high-quality medical care to the local community at 601 W 2ND ST.

Adrienne Mathis maintains professional affiliations with Permanente Medical Group Inc, Vituity-California Observation Services Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 W 2nd St

Bloomington, IN 474032317

Telephone 8123539515
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
70 Specialists

Practicing in Bloomington, IN (2429 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathis (9 Years) 9 Yrs
Bloomington Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
14 14 $815.50 $106.38

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 56156

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IN 10002368A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Vituity-California Observation Services Pc

1 Medical Plaza Dr, Roseville, CA 956613037

Phone: 9167811000

Permanente Medical Group Inc

7373 W Lane, Stockton, CA 952103377

Phone: 2094762000

Vituity-California Observation Services Pc

2825 Capitol Ave, Sacramento, CA 958166039

Phone: 9168870000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Robert Pursell , NP

Nurse Practitioner - Family

NPI 1013444090

Nurse Practitioner

NPI 1033126156

Doctor of Medicine (M.D.)

Linda Benedict , NP

Nurse Practitioner - Family

NPI 1053555292

Nurse Practitioner

Dr. Otar Datiashvili , MD

Emergency Medicine

NPI 1083096572

Doctor of Medicine (M.D.)

Dr. John Lee , MD

Emergency Medicine

NPI 1093246001

Doctor of Medicine (M.D.)

Elizabeth Blauvelt

Nurse Practitioner - Family

NPI 1104274190

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2017

Registered at 601 W 2ND ST, BLOOMINGTON, IN 474032317 (Tel: 8123539515)

📍
Updated Business Mailing Address November 15, 2017

Registered at PO BOX 1329, BLOOMINGTON, IN 474021329

👤
Provider Name / Credentials Updated November 15, 2017

Recorded as ADRIENNE MATHIS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Physician Assistant (License #10002368A in IN)

NPI Profile Active July 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2017

Registered at 601 W 2ND ST, BLOOMINGTON, IN 474032317 (Tel: 8123539515)

📍
Updated Business Mailing Address July 26, 2017

Registered at PO BOX 1329, BLOOMINGTON, IN 474021329

👤
Provider Name / Credentials Updated July 26, 2017

Recorded as ADRIENNE MATHIS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 26, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497279046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2017
Last Update: January 02, 2019
Sole Proprietor: No

Mailing Address

Po Box 1329

Bloomington, IN 474021329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.