Kerrick Marie Mathis
NPI 1053084319ActiveIndividual· Nurse Practitioner· Fort Wayne, IN
Nurse Practitioner with Parkview Health System Inc, practicing in Fort Wayne, Indiana. Mostly services rather than prescriptions: Medicare paid $3,668 for 48 patients in 2024, with only 38 Part D claims. Smith+nephew, Inc. reported $14.49 in payments in 2024, mostly food and beverage. Lists Parkview Dekalb Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1053084319 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 31, 2021 |
| Last updated in NPPES | Dec 2, 2024 |
| Certified by provider | Dec 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71011565A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 57 across 10 procedure codes |
| Paid by Medicare | $3,668 |
Part D prescriptions in 2024
| Prescriptions (claims) | 38 · 63 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $4,613 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Parkview Health System IncFort Wayne, IN · 1,377 clinicians
Hospital affiliations
- Parkview Dekalb HospitalAuburn, IN
- Parkview Regional Medical CenterFort Wayne, IN
Industry payments (Open Payments)
- 2024$14.49 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $14.49 | 1 |
What the 2024 payments were for
- Food and Beverage$14.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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