Victoria Princess Matthews, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209017759 Issued in IL

Practice address

176 W Mound Rd
Decatur, IL 62526-1964

Phone

(217) 875-0163

NPI assigned

Nov 14, 2018

Last updated

Sep 17, 2025By 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ameriwound Physicians Il LLCGroup PAC ID 2860616299, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vcarter261800@ewd.direct.hshs.org

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.

• Ameriwound Physicians Il LLC

  • General Practice Physician
  • Skokie, IL
  • NPI 1104245893
  Medicare reassignment Care Compare group NPD
• Mindful Resilience Psychiatry LLC

  • Nurse Practitioner
  • Decatur, IL
  • NPI 1588539712
  NPD Authorized official
• Toofan Medical Holdings, LTD

  dba Central Illinois Urgent Care

  • Urgent Care Clinic/Center
  • Mattoon, IL
  • NPI 1396578092
  NPD
• Toofan Medical Holdings, LTD.

  dba Effingham Express Care

  • Urgent Care Clinic/Center
  • Effingham, IL
  • NPI 1396179693
  NPD

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1275002701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 RAYMOND CT",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601428069",
            "telephone_number": "847-515-1505",
            "fax_number": "847-515-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 W MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261964",
            "telephone_number": "217-875-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 W Mound Rd Apt N",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625261791",
            "country_code": "US",
            "telephone_number": "217-853-8413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4965 E Lost Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625215139",
            "country_code": "US",
            "telephone_number": "217-321-9321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "VICTORIA",
        "middle_name": "PRINCESS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017759",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017759",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.381119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vcarter261800@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "176 W Mound Rd",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625261964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angie Mason, RBT
• Anita F Mason, MA; LMFT
• Fidel Mata, P.A.
• Wayne Allen Mathews, PAC
• Maggie Kaye Matthews, NP
• David Mark Mattiuz, PHARM.D.
• Maxover, LLC (Promax Construction)
• Kayla Maxwell, OTR/L
• Kevin Joseph McAvoy, L.C.P.C., CEAP
• Rachel Anne McBride, M.S., R.D.N.

• Nurse Practitioner in Decatur, IL
• Providers in Decatur, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.