Individual provider Active NPI

Teresa Lynn Matthews, FNP-C, MSN, RN

  • Nurse Practitioner
  • Milford, DE
National Provider Identifier
1528239118
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000527 Issued in DE
Practice address
919 SE 2ND St
Milford, DE 19963-1577
Phone
(302) 363-5839
Fax
(302) 424-7755
NPI assigned
Mar 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000527 DE
Nurse Practitioner 363L00000X LG-0000527 DE Primary

Addresses

Primary practice location

919 SE 2ND St
Milford, DE 19963-1577

Mailing address

919 SE 2ND St
Milford, DE 19963-1577
Phone (302) 363-5839

Other practice location 1

91-1099 Waiemi St
Ewa Beach, HI 96706-6413
Phone (302) 363-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080918000546 DE Practitioner - Nurse Practitioner 4981771813 Reassigns benefits to 1 organization
I20151006003061 MD Practitioner - Nurse Practitioner 4981771813 Reassigns benefits to 1 organization
I20160108001799 VA Practitioner - Nurse Practitioner 4981771813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pre-Hospital Interventions IncGroup PAC ID 6800963737, 3 clinicians

Practice addresses (Care Compare)

1147 S Salisbury Blvd
Suite 8
Salisbury, MD 21801-6865
Phone (302) 363-5839

4701 Shore Dr
Suite 103
Virginia Beach, VA 23455-2893
Phone (302) 363-5839

919 SE 2ND St
Milford, DE 19963-1577
Phone (302) 363-5839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
LG-0000527DEMDFamily Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1528239118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 SE 2ND ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631577",
            "telephone_number": "302-363-5839",
            "fax_number": "302-424-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 SE 2ND ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631577",
            "telephone_number": "302-363-5839",
            "fax_number": "302-424-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-1099 Waiemi St",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967066413",
            "country_code": "US",
            "telephone_number": "302-363-5839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000527",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.