Individual provider Active NPI

Christine D Mathews, APRN, FNP-BC

  • Family Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1114426202
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017041064 Issued in MO
Practice address
111 Saint Lukes Center Dr Ste 24B
Chesterfield, MO 63017-3509
Phone
(636) 685-7830
NPI assigned
Feb 5, 2018
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017041064 MO Primary

Addresses

Primary practice location

111 Saint Lukes Center Dr Ste 24B
Chesterfield, MO 63017-3509

Mailing address

111 Saint Lukes Center Dr Ste 24B
Chesterfield, MO 63017-3509
Phone (636) 685-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20180313001387 MO Practitioner - Nurse Practitioner 7719249663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Lukes Urology, LLCGroup PAC ID 0749602712, 11 clinicians

Practice addresses (Care Compare)

226 S Woods Mill Rd
Suite 52W
Chesterfield, MO 63017-3664
Phone (636) 685-7830

5551 Winghaven Blvd
Suite 250
O Fallon, MO 63368-3630
Phone (636) 685-7830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Urology, LLC CurrentSince Jul 5, 2022 Accepting new patients
Neurosurgery and Neurology LLC PastSince Apr 9, 2023 Accepting new patients

Locations

111 Saint Lukes Center Dr
Ste 24B
Chesterfield, MO 63017
Phone (636) 685-7830

226 S Woods Mill Rd
Ste 5
Chesterfield, MO 63017
Phone (636) 685-7830

226 S Woods Mill Rd
Ste 52W
Chesterfield, MO 63017
Phone (314) 434-2399

5551 Winghaven Blvd
Ste 250
O Fallon, MO 63368
Phone (314) 434-1211

2355 Dougherty Ferry Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 434-3049

2355 Dougherty Ferry Rd
Ste 330
Saint Louis, MO 63122
Phone (314) 835-0001

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1114426202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR STE 24B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "636-685-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR STE 24B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "636-685-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "CHRISTINE",
        "middle_name": "D",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017041064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.