Individual provider Active NPI

Mary Lucy Mattei, CRNP

  • Women's Health Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1619251568
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-110564 Issued in AL
Practice address
1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone
(251) 665-8000
Fax
(251) 665-8010
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-110564 AL Primary

Addresses

Primary practice location

1660 Spring Hill Ave
Mobile, AL 36604-1405

Mailing address

PO Box 40430
Mobile, AL 36640-0430
Phone (251) 665-8000

Other identifiers 3

IdentifierTypeStateIssuer
E732OtherGROUP MEDICARE NUMBER
1932219847OtherGROUP NPI NUMBER
529602720OtherGROUP MEDICAID NUMBER

Other names 1

  • Mary Lucy West Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120912000102 AL Practitioner - Nurse Practitioner 6002064334 Reassigns benefits to 3 organizations

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
USA Health - Mci Business Services LLCGroup PAC ID 6800290305, 24 clinicians

Practice addresses (Care Compare)

1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone (251) 665-8000

Hospital & facility affiliations

  • USA Health Children'S & Women'S Hospital Hospital, Mobile, AL, CCN 013301
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama CurrentSince Jun 25, 2015 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jan 1, 2020 Accepting new patients
USA Health - Mci Business Services LLC CurrentSince Oct 1, 2021 Accepting new patients
University of South Alabama Mitchell Cancer Institute CurrentSince Jun 25, 2015 Accepting new patients
USA Health - Mci Business Services LLC CurrentSince Oct 1, 2021 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jan 1, 2020 Accepting new patients
University of South Alabama Current Accepting new patients
University of South Alabama Current Accepting new patients

Locations

1047 Fairhope Ave
Fairhope, AL 36532
Phone (251) 660-5930

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

101 Memorial Hospital Dr
Ste 302
Mobile, AL 36608
Phone (251) 661-9587

Organizations & group practices 8

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 2

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": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1619251568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40430",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400430",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041405",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEI",
        "first_name": "MARY",
        "middle_name": "LUCY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-110564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "E732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1932219847",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "529602720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WEST",
            "middle_name": "LUCY",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.