Individual provider Active NPI

Nancy Mathieu, M.D.

  • Family Medicine Physician
  • Port Saint Lucie, FL
National Provider Identifier
1669835922
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME173177 Issued in FL
Practice address
10050 SW Innovation Way Ste 102
Port Saint Lucie, FL 34987-2117
Phone
(772) 344-3811
Fax
(772) 344-3890
NPI assigned
Apr 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.135842 OH
Family Medicine Physician 207Q00000X ME173177 FL Primary

Addresses

Primary practice location

10050 SW Innovation Way Ste 102
Port Saint Lucie, FL 34987-2117

Mailing address

10050 SW Innovation Way Ste 102
Port St Lucie, FL 34987-2117
Phone (772) 344-3811

Other practice location 1

770 Balgreen Dr
Mansfield, OH 44906-4106
Phone (419) 526-8877

Other identifiers 1

IdentifierTypeStateIssuer
0343084MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190422000394 OH Practitioner - Family Practice 1658664032 Reassigns benefits to 2 organizations
I20250523002751 FL Practitioner - Family Practice 1658664032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

10050 SW Innovation Way
Suite 102
Port St Lucie, FL 34987-2117
Phone (772) 344-3811

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665

2127 SE Ocean Blvd
Stuart, FL 34996-3305
Phone (772) 419-3952

Hospital & facility affiliations

  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Jul 1, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2021 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jun 23, 2025 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jun 23, 2025 Accepting new patients
Martin Memorial Physician Corporation Inc Past Accepting new patients

Locations

10050 SW Innovation Way
Ste 102
Port St Lucie, FL 34987
Phone (772) 288-5862

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1020 Cricket Ln
Mansfield, OH 44906
Phone (419) 526-8443

770 Balgreen Dr
Ste 207
Mansfield, OH 44906
Phone (419) 522-6800

335 Glessner Ave
Rm 325
Mansfield, OH 44903

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 4

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1669835922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 SW INNOVATION WAY STE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872117",
            "telephone_number": "772-344-3811",
            "fax_number": "772-344-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 SW INNOVATION WAY STE 102",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872117",
            "telephone_number": "772-344-3811",
            "fax_number": "772-344-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Balgreen Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449064106",
            "country_code": "US",
            "telephone_number": "419-526-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.135842",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME173177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343084",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.