Gwyneth N Mattingly, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP161067 Issued in ME

Practice address

242 Brunswick St
Old Town, ME 04468-1613

Phone

(207) 827-6128

NPI assigned

Jun 14, 2016

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Access Network IncGroup PAC ID 2769393180, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penobscot Valley Hospital Hospital, Lincoln, ME, CCN 201303

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Access Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1467468215
  Medicare reassignment Care Compare group NPD
• Health Access Network, Inc.

  dba Health Access Family Dental

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1295993616
  NPD
• Health Access Network, Inc.

  dba Health Access Network-Millinocket

  • Federally Qualified Health Center (FQHC)
  • Millinocket, ME
  • NPI 1760640189
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  Care Compare affiliation

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1982054672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BRUNSWICK ST",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681613",
            "telephone_number": "207-827-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "GWYNETH",
        "middle_name": "N",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP161067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Libby, DDS
• Lorraine L Lick, FNPC
• Rena M Lolar, LCPC
• Kayla Jo Maioriello
• Karolina Anna Mandes, PHARM D
• McKay Shared Living Services
• Frank N McKnight, LCSW
• Terri Underhill McLaughlin, PHARMD
• Terry L Melanson, LCSW
• Kayleigh Louise Merrill, DC

• Family Nurse Practitioner in Old Town, ME
• Providers in Old Town, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.

Verify at the official NPI Registry.