Adrienne N. Mathis, PA
NPI 1497279046ActiveIndividual· Physician Assistant· Bloomington, IN
Physician Assistant (PA) with Permanente Medical Group Inc and 1 other group, practicing in Bloomington, Indiana. 32 Medicare patients in 2024, $2,784 paid; nearly all of their 124 Part D prescriptions were generic (91%). Lists Kaiser Foundation Hosp So Sacramento and 1 other hospital as hospital affiliations.
Overview
| NPI | 1497279046 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 26, 2017 |
| Last updated in NPPES | Jan 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 56156 | CA |
| Physician Assistant | 363A00000X | 10002368A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA); Practitioner - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 47 across 12 procedure codes |
| Paid by Medicare | $2,784 |
Part D prescriptions in 2024
| Prescriptions (claims) | 124 · 124 30-day fills |
|---|---|
| Patients | 104 |
| Total drug cost | $2,536 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
- Vituity-California Observation Services PCRoseville, CA · 82 clinicians
Hospital affiliations
- Kaiser Foundation Hosp So SacramentoSacramento, CA
- Sutter Medical Center, SacramentoSacramento, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 75 physician assistants in Bloomington · All physician assistants in Indiana