Jane Elizabeth Mathews, RN, PMHCNS, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

306620 Issued in CA

Practice address

200 E. del Mar Blvd.
Suite 122
Pasadena, CA 91105-2551

Phone

(714) 618-8334

Fax

(323) 410-1012

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Jane Elizabeth Mikels Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Life Fitness Center a Medical Group Inc

  • Psychiatry Physician
  • Pasadena, CA
  • NPI 1093815052
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1376632471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E. DEL MAR BLVD.",
            "address_2": "SUITE 122",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052551",
            "telephone_number": "714-618-8334",
            "fax_number": "323-410-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E. DEL MAR BLVD.",
            "address_2": "SUITE 122",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052551",
            "telephone_number": "714-618-8334",
            "fax_number": "323-410-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "credential": "RN, PMHCNS, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "7136",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN306620",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP7136",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "306620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "MIKELS",
            "middle_name": "ELIZABETH",
            "credential": "RN, PMHCNS, NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Mata
• Yuraima Giselle Mata
• Anushka Anna Mathew
• Melba Rachel Mathew
• Preethi Maria Mathew
• Sharece Mathews
• Joshua Christopher Mathieu
• Crystal Matias, SPEECH LANGUAGE PATH
• Taraneh Matin, D.O.
• Salathiel E Matos, P.A.

• All providers in Pasadena, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.