Brenda Kay Mathews-Vitello, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R154292 Issued in MD

Practice address

116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027

Phone

(410) 897-9841

Fax

(410) 897-9852

NPI assigned

Feb 11, 2008

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Privia Care Center LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1164874426

  MD

  Medicare reassignment Care Compare group NPD
• Annapolis Internal Medicine, LLC

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1477629681

  MD

  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
  • NPI 1073580205

  MD

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  MD

  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  • Family Medicine Physician
  • Arnold, MD
  • NPI 1023085222
  NPD
• Luminis Health Medical Group, LLC

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1720835010
  NPD
• Menocal Medical Services PA

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1083795918
  NPD
• Privia Care Center LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1730664012
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Titus C. Abraham, MD, LLC

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1407295967
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Care Center LLC 286 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3805/brand/1/csg/1/fhir/r4
• Direct secure messaging: brenda.mathews-vitello.1@8042.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2013.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1003084237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS-VITELLO",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R154292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R154292",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matclinic Physicians Practice Group LLC
• Matclinic Physicians Practice Group LLC
• Matclinic Physicians Practice Group LLC
• Sarah Mathes
• Erika Mathew, MS, CCC-SLP
• Janice L Mathews, ACNP, ANP
• Laura P Mathiesen, RN
• David E Matteson, MD
• Matthew J Malta MD PA
• Gretchen Matthews, PHARMD

• All providers in Annapolis, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.

Verify at the official NPI Registry.