Active NPI
Vesselina S Mateva, M.D.
- Neurology Physician
- Hudson, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 454569
- Practice address
- 405 Stageline Rd
Hudson Ghpi Privileging
Hudson, WI 54016-7849 - Phone
- (715) 531-6700
- Fax
- (715) 531-6801
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 454569 | WI | Primary |
Addresses
Primary practice location
405 Stageline Rd
Hudson Ghpi Privileging
Hudson, WI 54016-7849
Mailing address
8170 33Rd Ave S
Ms21110Q
Minneapolis, MN 55425-4516
Phone (952) 883-5375
Other practice location 1
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 454569 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients |
Locations
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
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.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Hematology & Oncology Physician
- Osceola, WI
- NPI 1477228070
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1841243029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MS21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "952-883-5375",
"fax_number": "715-531-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 STAGELINE RD",
"address_2": "HUDSON GHPI PRIVILEGING",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167849",
"telephone_number": "715-531-6700",
"fax_number": "715-531-6801"
}
],
"practiceLocations": [
{
"address_1": "265 Griffin St E",
"address_purpose": "LOCATION",
"city": "Amery",
"state": "WI",
"postal_code": "540011439",
"country_code": "US",
"telephone_number": "715-268-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATEVA",
"first_name": "VESSELINA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "454569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.