Individual provider Active NPI

Liya Mathew, APRN

  • Family Nurse Practitioner
  • Newberg, OR
National Provider Identifier
1114513116
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202214567NP-PP Issued in OR
Practice address
1840 E Portland Rd
Newberg, OR 97132-1847
Phone
(888) 227-3312
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010051 FL
Family Nurse Practitioner 363LF0000X 202214567NP-PP OR Primary

Addresses

Primary practice location

1840 E Portland Rd
Newberg, OR 97132-1847

Mailing address

PO Box 3229
Portland, OR 97208-3229
Phone (888) 227-3312

Other practice location 1

10241 W Broward Blvd
Plantation, FL 33324-2114
Phone (954) 236-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20221005002457 OR Practitioner - Nurse Practitioner 8426440884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Care Or PCGroup PAC ID 1254768732, 60 clinicians
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians

Practice addresses (Care Compare)

1336 NE Orenco Station Pkwy
Hillsboro, OR 97124-5408
Phone (888) 227-3312

1840 E Portland Rd
Newberg, OR 97132-1847
Phone (888) 227-3312

4823 Meadows Rd
Suite 127
Lake Oswego, OR 97035-2622
Phone (888) 227-3312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
92.1
Improvement activities
40
Cost
80.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010051FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Care Or PC CurrentSince Oct 10, 2022 Accepting new patients
Express Care Wa PC CurrentSince Jul 23, 2025 Accepting new patients

Locations

1336 NE Orenco Station Pkwy
Hillsboro, OR 97124

1840 E Portland Rd
Newberg, OR 97132
Phone (503) 538-9360

14617 SE McLoughlin Blvd
Portland, OR 97267
Phone (503) 652-4047

Interoperability endpoints

  • Direct secure messaging: lmathew2433179@oc.providencedirect.org

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 and National Provider Directory roles.

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1114513116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3229",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083229",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E PORTLAND RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321847",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10241 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242114",
            "country_code": "US",
            "telephone_number": "954-236-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "LIYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202214567NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.