NPIMap

Individual provider Active NPI

Reena Mathew, FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1679060941
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137078 Issued in TX
Practice address
4100 W 15TH St Ste 110
Plano, TX 75093-5826
Phone
(469) 408-9558
Fax
(888) 408-9558
NPI assigned
Apr 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137078 TX Primary

Addresses

Primary practice location

4100 W 15TH St Ste 110
Plano, TX 75093-5826

Mailing address

PO Box 251382
Plano, TX 75025-1382
Phone (972) 786-0140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016000923 TX Practitioner - Nurse Practitioner 3274885587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NTX Pain and RehabGroup PAC ID 2365745858, 2 clinicians
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1400 Preston Rd
Suite 400
Plano, TX 75093-5189
Phone (469) 227-0340

801 Conover Dr
Grand Prairie, TX 75051-1519
Phone (214) 266-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137078TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family CurrentSince Feb 22, 2023 Accepting new patients
NTX Pain & Rehab CurrentSince Jan 1, 2025 Accepting new patients
Idcare, PLLC CurrentSince Jun 17, 2018 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Dallas County Hospital District Family CurrentSince Feb 22, 2023 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

224 W Pleasant Run Rd
Cedar Hill, TX 75104
Phone (972) 291-5977

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

801 Conover Dr
Grand Prairie, TX 75051
Phone (214) 266-3400

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

4100 W 15th St
Ste 110
Plano, TX 75093
Phone (469) 408-2530

2460 Marsh Ln
Plano, TX 75093
Phone (214) 335-9001

1400 Preston Rd
Ste 400
Plano, TX 75093
Phone (214) 699-1179

Interoperability endpoints

  • Direct secure messaging: rmathew320477@direct.phhs.org

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 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1679060941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251382",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251382",
            "telephone_number": "972-786-0140",
            "fax_number": "972-786-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935826",
            "telephone_number": "469-408-9558",
            "fax_number": "888-408-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "REENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-21",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.