Individual provider Active NPI

Minimol Mathew, APRN

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1437743424
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1033519 Issued in TX
Practice address
1718 Highway 287 N Ste 100
Mansfield, TX 76063-9242
Phone
(888) 726-5116
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 865307 TX
Family Nurse Practitioner 363LF0000X 1033519 TX Primary

Addresses

Primary practice location

1718 Highway 287 N Ste 100
Mansfield, TX 76063-9242

Mailing address

1718 Highway 287 N Ste 100
Mansfield, TX 76063-9242
Phone (469) 275-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230919003478 TX Practitioner - Nurse Practitioner 2860856184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

200 Silken Xing
Suite 201
Midlothian, TX 76065-5587
Phone (972) 723-1185

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
865307TXMDRegistered Nurse
1033519TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince Jul 1, 2024 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Jul 1, 2024 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients

Locations

200 Silken Xing
Ste 201
Midlothian, TX 76065
Phone (972) 723-1185

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: minimol.mathew.1@8042.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1437743424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 HIGHWAY 287 N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639242",
            "telephone_number": "469-275-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 HIGHWAY 287 N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639242",
            "telephone_number": "888-726-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MINIMOL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "865307",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1033519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.