Active NPI
Christina Ruthann Mattes, APRN
- Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11029414
- Practice address
- 1301 W Eau Gallie Blvd Ste 108
Melbourne, FL 32935-5390 - Phone
- (321) 622-8730
- NPI assigned
- Oct 30, 2023
- Last updated
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11029414 | FL | Primary |
Addresses
Primary practice location
1301 W Eau Gallie Blvd Ste 108
Melbourne, FL 32935-5390
Mailing address
PO Box 361095
Melbourne, FL 32936-1095
Phone (321) 622-8730
Other names 1
- Miss Christina Ruthann Corripio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E Hibiscus Blvd
Melbourne, FL 32901-3102
Phone (321) 768-3655
2328 Citadel Way
Suite 103 319
Melbourne, FL 32940-6459
Phone (321) 757-1900
Hospital & facility affiliations
- Viera Hospital
- Holmes Regional Medical Center
- Cape Canaveral Hospital
- Palm Bay Hospital
- Orlando Health Melbourne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 70.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11029414 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians , LLC | Current | Accepting new patients | |
| Brevard Primary Care LLC | Current | Accepting new patients | |
| Florida Kidney Physicians, LLC | Current | Accepting new patients |
Locations
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
111 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 725-8919
14 Suntree Pl
Ste 104
Melbourne, FL 32940
Phone (321) 768-3655
2328 Citadel Way
Ste 103319
Melbourne, FL 32940
Phone (321) 757-1900
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
450 Malabar Rd SE
Palm Bay, FL 32907
Phone (321) 752-3888
450 Malabar Rd SE
Unit 102
Palm Bay, FL 32907
Phone (321) 435-3655
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- christina.mattes.1@15644.direct.athenahealth.com
- cmattes71814@epicdirect.hf.org
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Melbourne, FL
- NPI 1376958462
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Orlando Health Melbourne Hospital
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1316719685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361095",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329361095",
"telephone_number": "321-622-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W EAU GALLIE BLVD STE 108",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329355390",
"telephone_number": "321-622-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTES",
"first_name": "CHRISTINA",
"middle_name": "RUTHANN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11029414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "CORRIPIO",
"middle_name": "RUTHANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.