Active NPI
Wendy Ariaty Tiburcio-Mateo, FNP
- Family Nurse Practitioner
- Shillington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP019918
- Practice address
- 500 Philadelphia Ave
Shillington, PA 19607-2764 - Phone
- (484) 955-4482
- NPI assigned
- Mar 19, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP019918 | PA | Primary |
Addresses
Primary practice location
500 Philadelphia Ave
Shillington, PA 19607-2764
Mailing address
522 S 16TH St
Reading, PA 19606-2509
Phone (484) 955-4482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190508002456 | PA | Practitioner - Nurse Practitioner | 7517209760 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alignmed Medical Group PCGeps Physician Group of Pennsylvania PCAlignmed Partners PC
Practice addresses (Care Compare)
100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (717) 397-4261
100 Edella Rd
Abington Manor
Clarks Summit, PA 17901-3862
Phone (570) 622-9666
30 W Ave
Wayne, PA 19087-3322
Phone (610) 688-3635
5485 Perkiomen Ave
Reading, PA 19606-3676
Phone (610) 779-3993
Hospital & facility affiliations
- Reading Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019918 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geps Physician Group of Pennsylvania PC | Family | Current | Accepting new patients |
| Alignmed Medical Group, PC | Current | Accepting new patients | |
| Geps Physician Group of Pennsylvania, PC | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients |
Locations
3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400
100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261
1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500
1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005
5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600
500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841
100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002
30 West Ave
Wayne, PA 19087
Phone (610) 688-3235
800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Kennett Square, PA
- NPI 1467471615
Family, PA
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1366289423
PA
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
PA
-
- Geriatric Medicine (Internal Medicine) Physician
- Avondale, AZ
- NPI 1851774897
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1376002162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 S 16TH ST",
"city": "READING",
"state": "PA",
"postal_code": "196062509",
"telephone_number": "484-955-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PHILADELPHIA AVE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196072764",
"telephone_number": "484-955-4482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBURCIO-MATEO",
"first_name": "WENDY",
"middle_name": "ARIATY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP019918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shillington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.