Active NPI
Jessica Lynn Mathenia, PA-C
- Family Medicine Physician
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 106
- Practice address
- 6500 Red Hook Plaza
Suite 205
St Thomas, VI 00802
UM - Phone
- (340) 775-2303
- NPI assigned
- Oct 19, 2011
- Last updated
- Aug 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085004185 | IL | |
| Medical Physician Assistant | 363AM0700X | 085004185 | IL | |
| Family Medicine Physician | 207Q00000X | 106 | VI | Primary |
Addresses
Primary practice location
6500 Red Hook Plaza
Suite 205
St Thomas, VI 00802
UM
Mailing address
5000 Estate Enighed
PMB 214
St John, VI 00830
UM
Other practice location 1
104 Courthouse Sq
Toledo, IL 62468-1052
Phone (217) 849-3151
Other practice location 2
901 E Brady St
Butler, PA 16001-4648
Phone (724) 285-9200
Other names 1
- Jessica Lynn Reuter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- Quality
- 61.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085004185 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yacht Haven Family Practice | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cruz Bay Family Practice Red Hook Family Practice
- Family Medicine Physician
- St Thomas, VI
- NPI 1972666097
-
dba Red Hook Family Practice
- Family Medicine Physician
- St Thomas, VI
- NPI 1063695740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1568747822",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "5000 ESTATE ENIGHED",
"address_2": "PMB 214",
"city": "ST JOHN",
"state": "VI",
"postal_code": "00830"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "6500 RED HOOK PLAZA",
"address_2": "SUITE 205",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "00802",
"telephone_number": "340-775-2303"
}
],
"practiceLocations": [
{
"address_1": "104 Courthouse Sq",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "IL",
"postal_code": "624681052",
"country_code": "US",
"telephone_number": "217-849-3151",
"fax_number": "217-849-3123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 E Brady St",
"address_purpose": "LOCATION",
"city": "Butler",
"state": "PA",
"postal_code": "160014648",
"country_code": "US",
"telephone_number": "724-285-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHENIA",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085004185",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085004185",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VI",
"license": "106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "REUTER",
"middle_name": "LYNN",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.