Active NPI
Melissa Lee Mathias, FNP-BC
- Family Nurse Practitioner
- Petersburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71048
- Practice address
- 10 Mulligan Drive
Petersburg, WV 26847-1511 - Phone
- (304) 257-2451
- NPI assigned
- Sep 14, 2012
- 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 | 71048 | WV | Primary |
Addresses
Primary practice location
10 Mulligan Drive
Petersburg, WV 26847-1511
Mailing address
3647 US Highway 220 N
Moorefield, WV 26836-8643
Phone (304) 538-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71048 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Memorial Hospital | Current | Accepting new patients | |
| Grant Memorial Hospital Inc | Current | Accepting new patients | |
| Grant Memorial Hospital | Current | Accepting new patients | |
| Grant Memorial Hospital | Current | Accepting new patients | |
| Grant Memorial Hospital Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10 Mulligan Dr
Petersburg, WV 26847
Phone (304) 257-2451
117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312
Interoperability endpoints
- mmathia2@yourcarecommunity.org
- mmathias@hawsehealth.direct.emds.com
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.
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1013603919
-
- Orthopaedic Surgery Physician
- Petersburg, WV
- NPI 1407248800
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1598763666
-
- Family Medicine Physician
- Petersburg, WV
- NPI 1801592126
-
- Family Medicine Physician
- Petersburg, WV
- NPI 1679269583
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1013603919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1801146071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3647 US HIGHWAY 220 N",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268368643",
"telephone_number": "304-538-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MULLIGAN DRIVE",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268471511",
"telephone_number": "304-257-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIAS",
"first_name": "MELISSA",
"middle_name": "LEE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "71048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.