Charity A Mathis, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Gerrardstown, WV
NPI 1043796014 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1043796014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 111213 (WV)
- Practice address
- 1115 Horners Sawmill Rd
Gerrardstown, WV 25420-4276 - Phone
- (561) 271-9244
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Winchester Community Mental Health Center, Inc.
Practice addresses (Care Compare)
36 Ricketts Dr
Winchester, VA 22601-3676
Phone (540) 535-1112
89 Hovatter Dr
Inwood, WV 25428-1294
Phone (305) 218-1894
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in VA, WV, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221012001524 | VA | Practitioner - Nurse Practitioner | 1557737814 | Reassigns benefits to 1 organization |
| I20240410001126 | WV | Practitioner - Nurse Practitioner | 1557737814 | Reassigns benefits to 2 organizations |
| I20250701000923 | MD | Practitioner - Nurse Practitioner | 1557737814 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC007262 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 111213 | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Community Mental Health Center, Inc. | Psychiatric/Mental Health | Current |
Accepting new patients |
| Hopes Horizon DNP Services LLC | Family | Current |
Accepting new patients |
| Winchester Community Mental Health Center, Inc. | Family | Past | Accepting new patients |
Locations
4109 Ritchie Hwy
Brooklyn Park, MD 21225
Phone (410) 609-0040
5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100
105 Stony Pointe Way
Ste 210
Strasburg, VA 22657
Phone (540) 465-9606
36 Ricketts Dr
Winchester, VA 22601
Phone (540) 535-1112
89 Hovatter Dr
Inwood, WV 25428
Phone (305) 218-1894
Interoperability endpoints
- https://api.platform.athenahealth.com/25470/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111213 | WV | |
| Family Nurse Practitioner | 363LF0000X | 0024183967 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024183967 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC007262 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 111213 | WV | Yes |
Addresses
Primary practice location
1115 Horners Sawmill Rd
Gerrardstown, WV 25420-4276
Mailing address
1115 Horners Sawmill Rd
Gerrardstown, WV 25420-4276
Phone (561) 271-9244
Other practice location 1
4109 Ritchie Hwy
Brooklyn Park, MD 21225-2703
Phone (410) 609-0040
Other practice location 2
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone (561) 271-9244
Other practice location 3
123 Hovatter Dr
Inwood, WV 25428-1298
Phone (304) 901-5801
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | charityangeldenp@hushmail.com |
Other providers in Gerrardstown, WV
- Tyler Greenstreet
- Lisa Gregory
- Alex James Jenkins
- Jeannette Jones
- Crystal Lemaster
- Sheena Dawn Montague
- William Parsons
- Michael Riggs
- Shane Eugene Riley
- Jessica Rose Slonaker
All providers in Gerrardstown, WV · Psychiatric/Mental Health Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.