Active NPI
Ann M Mathew, FNP
- Family Nurse Practitioner
- Bristol, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP021470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN634739 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Hospitalists, LLC | Current | Accepting new patients | |
| Edward Burnetta MD LLC | Current | 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
- 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.
-
- Specialist
- Bryn Mawr, PA
- NPI 1780717546
-
- Internal Medicine Physician
- Phoenixville, PA
- NPI 1730518564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.
- 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.