Individual provider Active NPI

Mincy Mathews

  • Family Nurse Practitioner
  • Red Oak, TX
National Provider Identifier
1962920710
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134680 Issued in TX
Practice address
105 Harris Ave
Red Oak, TX 75154-4216
Phone
(972) 948-3798
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 AP134680 TX Primary

Addresses

Primary practice location

105 Harris Ave
Red Oak, TX 75154-4216

Mailing address

105 Harris Ave
Red Oak, TX 75154-4216
Phone (972) 948-3798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171220002076 TX Practitioner - Nurse Practitioner 2163780131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

Practice addresses (Care Compare)

105 Harris Ave
Red Oak, TX 75154-4216
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Dec 7, 2023 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Jul 16, 2025 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

4100 State Highway 121
Carrollton, TX 75010
Phone (972) 339-2417

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

5500 N MacArthur Blvd
Irving, TX 75038
Phone (972) 255-4155

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400

105 Harris Ave
Red Oak, TX 75154
Phone (972) 617-0034

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 676-4362

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1962920710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HARRIS AVE",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544216",
            "telephone_number": "972-948-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HARRIS AVE",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544216",
            "telephone_number": "972-948-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "MINCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

Verify at the official NPI Registry.