NPIMap

Individual provider Active NPI

Nathaniel Methot, NP

  • Nurse Practitioner
  • Tuolumne, CA
National Provider Identifier
1225422140
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95002614 Issued in CA
Practice address
18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Phone
(209) 928-5400
NPI assigned
Mar 28, 2015
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95002614 CA Primary
Family Nurse Practitioner 363LF0000X 814808 CA

Addresses

Primary practice location

18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506

Mailing address

18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Phone (209) 928-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160217000772 CA Practitioner - Nurse Practitioner 6103121983 Reassigns benefits to 2 organizations
I20230816000128 TX Practitioner - Nurse Practitioner 6103121983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mathiesen Memorial Health ClinicGroup PAC ID 1759429814, 4 clinicians

Practice addresses (Care Compare)

18144 Seco St
Jamestown, CA 95327-9498
Phone (209) 984-4820

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Jan 18, 2016 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince Sep 5, 2018 Accepting new patients
Mathiesen Memorial Health Clinic CurrentSince Apr 8, 2023 Accepting new patients
Mathiesen Memorial Health Center CurrentSince Jun 5, 2022 Accepting new patients
Tuolumne Mewuk Indian Health Center, Inc Family CurrentSince Sep 5, 2018 Accepting new patients
Sonora Community Hospital CurrentSince Jan 18, 2016 Accepting new patients

Locations

14542 Lolly Ln
Sonora, CA 95370
Phone (209) 536-3625

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nathaniel.methot.p1@direct.mathiesenmemorialhc.nextgenshare.com

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1225422140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18880 CHERRY VALLEY BLVD",
            "city": "TUOLUMNE",
            "state": "CA",
            "postal_code": "953799506",
            "telephone_number": "209-928-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18880 CHERRY VALLEY BLVD",
            "city": "TUOLUMNE",
            "state": "CA",
            "postal_code": "953799506",
            "telephone_number": "209-928-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHOT",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2021-12-16",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002614",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "814808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuolumne, CA

Sources for this page

Verify at the official NPI Registry.