Individual provider Active NPI

Cory Mateu, FNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1821804998
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11240114 Issued in FL
Practice address
3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812
Phone
(561) 227-2772
Fax
(561) 209-0154
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 F11240114 FL Primary

Addresses

Primary practice location

3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812

Mailing address

3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812
Phone (561) 227-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103003030 FL Practitioner - Nurse Practitioner 8527596568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soma Medical Center PA 9Group PAC ID 8820473754, 4 clinicians

Practice addresses (Care Compare)

3325 Forest Hill Blvd
Suite B
West Palm Beach, FL 33406-5812
Phone (561) 227-2772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11240114FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center PA #9 CurrentSince Jan 15, 2025 Accepting new patients
Soma Medical Center, PA CurrentSince Dec 24, 2024 Accepting new patients
Soma Medical Center, PA CurrentSince Jan 15, 2025 Accepting new patients

Locations

3325 Forest Hill Blvd
Ste B
West Palm Beach, FL 33406
Phone (561) 227-2772

3255 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 433-5050

3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JABFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1821804998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-227-2772",
            "fax_number": "561-209-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-227-2772",
            "fax_number": "561-209-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEU",
        "first_name": "CORY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11240114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.