Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adrienne N Mathis, PA

Individual provider Physician Assistant · NPI 1497279046

Adrienne N Mathis, PA is a Physician Assistant in Bloomington, Indiana. Qualified in 2017, 9 years ago. Practices with Vituity-California Observation Services PC, a 84-clinician group and accepts Medicare assignment. Licensed in California and Indiana.

Years since qualifying
9
Licensed in
CA, IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

601 W 2nd St
Bloomington, IN 47403-2317
Phone: (812) 353-9515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56156 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 10002368A (IN)

Record details

NPI number1497279046
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2017
Last updated in NPPESJanuary 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vituity-California Observation Services Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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