Active NPI
Sara Beth Matherly, NP
- Adult Health Nurse Practitioner
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024174809
- Practice address
- 11848 Rock Landing Dr Ste 402
Newport News, VA 23606-4425 - Phone
- (757) 873-1374
- Fax
- (757) 873-1612
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024174809 | VA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 0024174809 | VA |
Addresses
Primary practice location
11848 Rock Landing Dr Ste 402
Newport News, VA 23606-4425
Mailing address
8491 Ashington Way
Williamsburg, VA 23188-6628
Phone (757) 636-2857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11848 Rock Landing Dr
Suite 402
Newport News, VA 23606-4425
Phone (757) 873-1374
Hospital & facility affiliations
- Riverside Home Health
- Riverside Regional Medical Center
- Riverside Walter Reed Hospital
- Riverside Doctors' Hospital of Williamsburg
- Riverside Smithfield Hospital
- Mary Immaculate Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174809 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services, Inc. | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
850 Enterprise Pkwy
Ste 2000
Hampton, VA 23666
Phone (757) 534-6109
11848 Rock Landing Dr
Ste 402
Newport News, VA 23606
Phone (757) 234-8770
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
120 Kings Way
Ste 3300
Williamsburg, VA 23185
Phone (757) 221-0750
Interoperability endpoints
- smatherly68863@direct.rivhs.com
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
-
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport News, VA
- NPI 1801891023
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1275893307
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1427064310
-
- General Acute Care Hospital
- Smithfield, VA
- NPI 1366259863
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Gloucester, VA
- NPI 1528162534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1750811469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8491 ASHINGTON WAY",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231886628",
"telephone_number": "757-636-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11848 ROCK LANDING DR STE 402",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064425",
"telephone_number": "757-873-1374",
"fax_number": "757-873-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHERLY",
"first_name": "SARA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024174809",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024174809",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.