Active NPI
Jessica Matheny, MSN, FNP-C
- Family Nurse Practitioner
- Savannah, GA
National Provider Identifier
1043986326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN248214
- Practice address
- 14089 Abercorn St
Savannah, GA 31419-1966 - Phone
- (912) 777-6161
- NPI assigned
- Aug 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN248214 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN248214 | GA | Primary |
Addresses
Primary practice location
14089 Abercorn St
Savannah, GA 31419-1966
Mailing address
343 Marshview Dr
Richmond Hill, GA 31324-6207
Phone (989) 335-0432
Other practice location 1
586 Brannen St
Statesboro, GA 30458-5557
Phone (912) 871-6611
Other practice location 2
105 Grand Central Blvd Ste 108
Pooler, GA 31322-4148
Phone (912) 748-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 W Chisholm St
Alpena, MI 49707-1401
211 Long Rapids Rd
Alpena, MI 49707-1315
Phone (989) 354-2142
Hospital & facility affiliations
- Mymichigan Medical Center Alpena
- Tawas St Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN248214 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Group | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Past | Accepting new patients |
Locations
160 E Warwick Dr
Alma, MI 48801
Phone (855) 289-5353
393 Long Rapids Rd
Alpena, MI 49707
Phone (989) 354-4406
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
211 Long Rapids Rd
Alpena, MI 49707
Phone (989) 354-2142
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
Interoperability endpoints
- jmatheny123554@mymichiganhealth.midirect.net
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1508332792
-
- Pediatrics Physician
- Midland, MI
- NPI 1912957390
-
- Family Medicine Physician
- Midland, MI
- NPI 1740230127
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1942302302
-
- Psychiatric Hospital
- Alpena, MI
- NPI 1689621658
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
-
- General Acute Care Hospital
- Tawas City, MI
- NPI 1194713461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1043986326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 MARSHVIEW DR",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246207",
"telephone_number": "989-335-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14089 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191966",
"telephone_number": "912-777-6161"
}
],
"practiceLocations": [
{
"address_1": "586 Brannen St",
"address_purpose": "LOCATION",
"city": "Statesboro",
"state": "GA",
"postal_code": "304585557",
"country_code": "US",
"telephone_number": "912-871-6611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Grand Central Blvd Ste 108",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313224148",
"country_code": "US",
"telephone_number": "912-748-1515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHENY",
"first_name": "JESSICA",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN248214",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN248214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.