Individual Healthcare Provider
Jeremy Mathenia, PA-C
Provider's NPPES record last updated: August 11, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1285910059
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- St Thomas, U.S. Virgin Islands
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:12 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
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.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (U.S. Virgin Islands)
- 105
- Physician Assistant (Illinois)
- 085-004144
- Physician Assistant (Illinois)
- 085004144
Practice Locations
Practice Location
6500 Red Hook Plz Ste 205
St Thomas, U.S. Virgin Islands 00802-1346
Phone: (340) 775-2303
Additional Practice Location
1001 Health Center Dr
Mattoon, Illinois 61938-4693
Phone: (217) 258-2250
Fax: (217) 258-2249
Additional Practice Location
160 Hollywood Dr
Butler, Pennsylvania 16001-5600
Phone: (724) 282-6175
Record Information
- Enumeration Date
- October 25, 2011
- Provider's NPPES Record Last Updated
- August 11, 2026
- Certification Date
- August 11, 2026
- NPISignal NPPES Dataset
- August 2026
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