Active NPI
Nicole R Schreck-Mathias, NP
- Family Nurse Practitioner
- Waterville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 343126
- Practice address
- 358 Madison St
Waterville, NY 13480 - Phone
- (315) 841-4973
- NPI assigned
- Jun 25, 2018
- Last updated
- Feb 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 343126 | NY | Primary |
Addresses
Primary practice location
358 Madison St
Waterville, NY 13480
Mailing address
2209 Genesee Street
Business Office-Room 315
Utica, NY 13501-5930
Phone (315) 801-3282
Other names 1
- Nicole Schreck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients |
Locations
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
2209 Genesee St
#310
Utica, NY 13501
2209 Genesee St
#315
Utica, NY 13501
358 Madison St
Waterville, NY 13480
Phone (315) 841-3222
Interoperability endpoints
- nschreck11512@mvhealthsystem.direct-ci.com
Organizations & group practices 2
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": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1770078495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 GENESEE STREET",
"address_2": "BUSINESS OFFICE-ROOM 315",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-801-3282",
"fax_number": "315-801-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 MADISON ST",
"city": "WATERVILLE",
"state": "NY",
"postal_code": "13480",
"telephone_number": "315-841-4973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRECK-MATHIAS",
"first_name": "NICOLE",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "SCHRECK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.