Individual provider Active NPI

Wendy Ariaty Tiburcio-Mateo, FNP

  • Family Nurse Practitioner
  • Shillington, PA
National Provider Identifier
1376002162
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019918 Issued in PA
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

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PC 62 clinicians
Geps Physician Group of Pennsylvania PC 4 clinicians
Alignmed Partners PC 34 clinicians

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 Hospital, West Reading, PA, CCN 390044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019918PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geps Physician Group of Pennsylvania PC Family CurrentSince Mar 29, 2019 Accepting new patients
Alignmed Medical Group, PC CurrentSince Oct 20, 2024 Accepting new patients
Geps Physician Group of Pennsylvania, PC CurrentSince Mar 29, 2019 Accepting new patients
Alignmed Partners, PC CurrentSince Mar 29, 2019 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.

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

Verify at the official NPI Registry.