Individual provider Active NPI

Ann M Mathew, FNP

  • Family Nurse Practitioner
  • Bristol, PA
National Provider Identifier
1942644836
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021470 Issued in PA
Practice address
905 Tower Rd # 3188
Bristol, PA 19007-3116
Phone
(215) 785-3201
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN634739 PA
Family Nurse Practitioner 363LF0000X SP021470 PA Primary

Addresses

Primary practice location

905 Tower Rd # 3188
Bristol, PA 19007-3116

Mailing address

9585 Walley Ave
Philadelphia, PA 19115-3009
Phone (267) 752-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200415002384 PA Practitioner - Nurse Practitioner 1951731900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward Burnetta MD LLCGroup PAC ID 2668576265, 10 clinicians

Practice addresses (Care Compare)

2075 County Line Rd
Villanova, PA 19085-1732
Phone (610) 642-1413

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN634739PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Hospitalists, LLC CurrentSince Mar 1, 2020 Accepting new patients
Edward Burnetta MD LLC CurrentSince Jun 20, 2024 Accepting new patients

Locations

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

773 E Haverford Rd
Bryn Mawr, PA 19010
Phone (610) 525-8300

2629 Trenton Rd
Levittown, PA 19056
Phone (215) 860-3520

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117

845 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 279-7300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1942644836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9585 WALLEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153009",
            "telephone_number": "267-752-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 TOWER RD # 3188",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073116",
            "telephone_number": "215-785-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN634739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.