Tiffany Mathis, in Indianapolis, IN - Medicare Nurse Practitioner

Tiffany Mathis, is a medicare enrolled "Nurse Practitioner - Gerontology" in Indianapolis, Indiana. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Proactive Clinical Partners - Aco, Proactive Clinical Partners and her current practice location is 3525 E Hanna Ave, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 788-4261.

Tiffany Mathis is licensed to practice in Indiana (license number 28217402A) 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 1508620717.

Contact Information

	Tiffany Mathis,
	3525 E Hanna Ave, Indianapolis, IN 46237-1230
	(317) 788-4261
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Mathis
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	3525 E Hanna Ave, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tiffany Mathis graduated from nursing school in 2023

NPI Data:

NPI Number: 1508620717
Provider Enumeration Date: 02/08/2024
Last Update Date: 10/29/2025

Medicare PECOS Information:

PECOS PAC ID: 4082051602
Enrollment ID: I20240319001328

Medical Identifiers

Medical identifiers for Tiffany Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508620717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	28217402A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proactive Clinical Partners - Aco	5890154884	22
Proactive Clinical Partners	8527315852	27

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. Tiffany Mathis allows following entities to bill medicare on her behalf.

Entity Name	Proactive Clinical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366934242 PECOS PAC ID: 8527315852 Enrollment ID: O20180718001740

Entity Name	Proactive Clinical Partners - Aco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821709031 PECOS PAC ID: 5890154884 Enrollment ID: O20230710000733

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. Tiffany 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 Address	Practice Location Address
Tiffany Mathis, 11313 Usa Pkwy Ste E148, Fishers, IN 46037-9208 Ph: (317) 781-4500	Tiffany Mathis, 3525 E Hanna Ave, Indianapolis, IN 46237-1230 Ph: (317) 788-4261

Reviews and Comments

Nurse Practitioner Nurses in Indianapolis, IN

Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516
Tia Imhoff Mcgee, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-312-2204
Kathleen L Lampert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227 Phone: 317-497-2300
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617
Samantha Lee Stalnaker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1919 E 52nd St, Indianapolis, IN 46205 Phone: 317-429-0120 Fax: 317-800-7730

Tiffany Mathis, - Medicare Nurse Practitioner in Indianapolis, IN