Individual provider Active NPI

Kesheia Brooke Matheny, NP

  • Family Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1184445777
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106949 Issued in WV
Practice address
260 S Mayo TRL
Pikeville, KY 41501-1520
Phone
(606) 437-7327
Fax
(606) 437-1401
NPI assigned
Oct 17, 2024
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 106949 WV Primary

Addresses

Primary practice location

260 S Mayo TRL
Pikeville, KY 41501-1520

Mailing address

PO Box 44
Kermit, WV 25674-0044
Phone (304) 928-5421

Other practice location 1

PO Box 44
Kermit, WV 25674-0044
Phone (304) 928-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241218000583 KY Practitioner - Nurse Practitioner 0547797359 Reassigns benefits to 2 organizations
I20250603001317 WV Practitioner - Nurse Practitioner 0547797359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Topaz Bay Senior Health PCGroup PAC ID 2860906385, 30 clinicians

Practice addresses (Care Compare)

200 Whiteman Ave
Elkins, WV 26241-3400
Phone (203) 666-8145

424 Lewis Hargett Cir
FL 2
Lexington, KY 40503-3688
Phone (203) 666-8145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Topaz Bay Senior Health PC CurrentSince Aug 18, 2025 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Oct 11, 2024 Accepting new patients
Horizon Recovery Family PastSince Oct 30, 2022 Accepting new patients
Horizon Recovery Past Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

424 Lewis Hargett Cir
#2
Lexington, KY 40503

424 Lewis Hargett Cir
Fl 2
Lexington, KY 40503
Phone (859) 285-6485

260 S Mayo Trl
Pikeville, KY 41501
Phone (606) 437-7327

200 Whiteman Ave
Elkins, WV 26241
Phone (304) 636-2033

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.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1184445777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "KERMIT",
            "state": "WV",
            "postal_code": "256740044",
            "telephone_number": "304-928-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011520",
            "telephone_number": "606-437-7327",
            "fax_number": "606-437-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 44",
            "address_purpose": "LOCATION",
            "city": "Kermit",
            "state": "WV",
            "postal_code": "256740044",
            "country_code": "US",
            "telephone_number": "304-928-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHENY",
        "first_name": "KESHEIA",
        "middle_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.