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STEPHANIE MATHEWS CRNP
NPI 1205560109
Nurse Practitioner - Family in Frostburg, MD

Active since July 15, 2022PECOS EnrolledAccepts Medicare Assignment
86.92/100
CMS Quality Rating
1 SCIENCE PARK, FROSTBURG, MD 21532(301) 729-2235(240) 943-2044 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Apr 13, 2026, Aug 22, 2022 and 1 more (4 updates tracked since 2022).

About Stephanie Mathews Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MATHEWS CRNP (NPI 1205560109) is an individual family provider in Frostburg, Maryland, licensed in Maryland (R190916) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and maintains a secondary practice location in Cumberland.

NPPES Registry Identity

NPI1205560109
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE MATHEWSCredential: CRNP
Location Address1 SCIENCE PARKFrostburg, MD 21532-2024
Mailing Address1 Science ParkFrostburg, MD 21532-2024 · (516) 770-5040 · Fax (516) 569-3677
Phone(301) 729-2235
Fax(240) 943-2044
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 15, 2022
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1205560109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R190916
1 SCIENCE PARK, Frostburg, MD 21532
Open in Google Maps ↗

Secondary Practice Location 1

Location 11226 National HwyCumberland, MD 21502-7603 · Phone (301) 729-2235 · Fax (240) 437-4589

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Mathews Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264816347
PECOS Enrollment IDI20220909000118
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
291 services221 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
287 services212 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
166 services166 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
103 services100 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
67 services60 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services46 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Promoting Interoperability100
Improvement Activities40
Cost80.8

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLCARE INC
Family Medicine
1 SCIENCE PARK
FROSTBURG, MD 21532
Allegany County (301) 729-2235
WELLCARE PHYSICAL & OCCUPATIONAL THERAPY SERVICES, LLC
Physical Medicine & Rehabilitation
1 SCIENCE PARK
FROSTBURG, MD 21532
Allegany County (301) 729-2235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Mathews's NPI number?

The NPI number for Stephanie Mathews is 1205560109. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Stephanie Mathews located?

Stephanie Mathews practices at 1 Science Park, Frostburg, MD 21532. The listed phone number is (301) 729-2235.

What is Stephanie Mathews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Mathews enrolled in Medicare?

Yes. Stephanie Mathews is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stephanie Mathews affiliated with any hospitals?

According to CMS data, Stephanie Mathews is affiliated with Western Maryland Regional Medical Center and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Mathews was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.