Mini Mathew, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG 0000931 Issued in DE

Practice address

114 Sandhill Dr
Middletown Family Care Associate,Suite101, Ketlay Plaza
Middletown, DE 19709-5805

Phone

(302) 378-4779

NPI assigned

May 10, 2016

Last updated

May 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Merit-based Incentive Payment System (MIPS)

Final score

91.95 of 100Reported as apm

Quality

81.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Middletown Familycare Associates LLC

  • Family Medicine Physician
  • Middletown, DE
  • NPI 1831202100
  Medicare reassignment NPD

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1154777001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SANDHILL DR",
            "address_2": "MIDDLETOWN FAMILY CARE ASSOCIATE,SUITE101, KETLAY PLAZA",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095805",
            "telephone_number": "302-378-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SANDHILL DR",
            "address_2": "MIDDLETOWN FAMILY CARE ASSOCIATE,SUITE101, KETLAY PLAZA",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095805",
            "telephone_number": "302-378-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MINI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG 0000931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Catherine Marra
• Julie Marrs, P.T.
• Lily Jazmin Martinez Rivera
• Patrick Sallay Massaquoi, N.P.
• Courtney Masterson
• Francis J Mazanet, RPH
• Mbue, Inc (Mbue Health)
• Brian Scott McAllister, DDS
• McCormick & Associates of Middletown, LLC
• Janeen McCowin

• Family Nurse Practitioner in Middletown, DE
• Providers in Middletown, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.

Verify at the official NPI Registry.