Individual provider Active NPI

Regine Junie Mathieu, MD

  • Dermatology Physician
  • Fresno, CA
National Provider Identifier
1285130401
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
LP04775 Issued in RI
Practice address
1125 E Spruce Ave Ste 207
Fresno, CA 93720-3390
Phone
(559) 435-7546
NPI assigned
Apr 5, 2018
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X LP04775 RI Primary

Addresses

Primary practice location

1125 E Spruce Ave Ste 207
Fresno, CA 93720-3390

Mailing address

1972 Westhill Run
Windermere, FL 34786-6229
Phone (407) 455-1231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824003074 CA Practitioner - Dermatology 7416292271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kathleen L Behr M D IncGroup PAC ID 0749278752, 6 clinicians
CPP 435Skin PCGroup PAC ID 8527569623, 6 clinicians

Practice addresses (Care Compare)

1125 E Spruce Ave
Suite 207
Fresno, CA 93720-3390
Phone (559) 435-7546

Merit-based Incentive Payment System (MIPS)

Final score
59.13 of 100Reported as group
Quality
33.48
Improvement activities
40
Cost
52.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions164
Removal of skin cancer1-10
Removal or shaving of skin growth1-10
Skin biopsy63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen L Behr M D Inc Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
CPP 435Skin PC Single Specialty CurrentSince Jul 15, 2025 Accepting new patients

Locations

1125 E Spruce Ave
Ste 207
Fresno, CA 93720
Phone (559) 435-7546

Organizations & group practices 2

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1285130401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 WESTHILL RUN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866229",
            "telephone_number": "407-455-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E SPRUCE AVE STE 207",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203390",
            "telephone_number": "559-435-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "REGINE",
        "middle_name": "JUNIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "LP04775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.