Individual provider Active NPI

Peggy Claude Mathieu-Martin, NURSE PRACTITIONER

  • Nurse Practitioner
  • Weston, MA
National Provider Identifier
1144984733
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2611595 Issued in MA
Practice address
235 Wellesley St Ste 1
Weston, MA 02493-1571
Phone
(617) 312-8830
NPI assigned
Oct 28, 2021
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2611595 MA Primary

Addresses

Primary practice location

235 Wellesley St Ste 1
Weston, MA 02493-1571

Mailing address

18 Gorwin Dr
Sharon, MA 02067-2704
Phone (617) 312-8830

Other names 1

  • Mrs. Peguy Claude Mathieu Former name

Electronic endpoints 8

TypeEndpointUseAffiliation
Other URL pmat554@regiscollege.edu Direct
Other URL pmat554@regiscollege.edu Direct
Direct Messaging Address pmat554@regiscollege.edu Direct
Direct Messaging Address pmat554@regiscollege.edu Direct
Other URL pmat554@regiscollege.edu Direct
Direct Messaging Address pmat554@regiscollege.edu Direct
Direct Messaging Address pmat554@regiscollege.edu Direct
Other URL pmat554@regiscollege.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230524001234 MA Practitioner - Nurse Practitioner 8224494885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

63 Main St
Brockton, MA 02301-4042
Phone (508) 559-6699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2611595MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Neighborhood Health Center, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Brockton Neighborhood Health Center Current Accepting new patients
Brockton Neighborhood Health Center CurrentSince Jan 1, 2025 Accepting new patients
Regis College PastSince Oct 31, 2021 Accepting new patients

Locations

100 S Shore Dr
Ste 200
East Haven, CT 06512
Phone (217) 433-2804

63 Main St
Brockton, MA 02301
Phone (508) 559-6696

Interoperability endpoints

  • FHIR API: https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: pmathieumartin49959@direct.ctc.masshiway.net

Organizations & group practices 4

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 2

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1144984733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GORWIN DR",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672704",
            "telephone_number": "617-312-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WELLESLEY ST STE 1",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931571",
            "telephone_number": "617-312-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIEU-MARTIN",
        "first_name": "PEGGY",
        "middle_name": "CLAUDE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2611595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pmat554@regiscollege.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "235 Wellesley St Ste 1",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pmat554@regiscollege.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "235 Wellesley St Ste 1",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmat554@regiscollege.edu",
            "affiliation": "N",
            "endpointDescription": "pmat554@regiscollege.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 Wellesley St Ste 1",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmat554@regiscollege.edu",
            "affiliation": "N",
            "endpointDescription": "pmat554@regiscollege.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 Wellesley St Ste 1",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pmat554@regiscollege.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "235 Wellesley St Ste 1",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmat554@regiscollege.edu",
            "affiliation": "N",
            "endpointDescription": "pmat554@regiscollege.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 Wellesley St Ste 1",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmat554@regiscollege.edu",
            "affiliation": "N",
            "endpointDescription": "pmat554@regiscollege.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 Wellesley St Ste 1",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pmat554@regiscollege.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "235 Wellesley St Ste 1",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PEGUY",
            "last_name": "MATHIEU",
            "middle_name": "CLAUDE",
            "prefix": "MRS.",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weston, MA

Sources for this page

Verify at the official NPI Registry.