MRS. AUDREY ROXANNE MATHEW NP
NPI 1386241685
Nurse Practitioner in Gaithersburg, MD

Active since October 08, 2020PECOS Enrolled
77.4/100
CMS Quality Rating
546 N FREDERICK AVE # 1490, GAITHERSBURG, MD 20877(301) 948-3250 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 19, 2021, Oct 29, 2020, Oct 8, 2020 (3 updates tracked since 2020).

About Mrs. Audrey Roxanne Mathew Np NPPES

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

MRS. AUDREY ROXANNE MATHEW NP (NPI 1386241685) is an individual nurse practitioner in Gaithersburg, Maryland, licensed in Maryland (R245528) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Millersville.

NPPES Registry Identity

NPI1386241685
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. AUDREY ROXANNE MATHEWCredential: NP
Location Address546 N FREDERICK AVE # 1490Gaithersburg, MD 20877-2504
Mailing Address546 N Frederick AveGaithersburg, MD 20877-2504
Sole ProprietorNo
Enumeration DateOctober 8, 2020
Last NPPES UpdateMarch 19, 20213 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
NPI 1386241685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R245528
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

546 N FREDERICK AVE # 1490, Gaithersburg, MD 20877

Secondary Practice Location 1

Location 11111 Benfield Blvd Ste 250Millersville, MD 21108-3005 · Phone (410) 679-4410

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Audrey Roxanne Mathew Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
546 N FREDERICK AVE # 1490
GAITHERSBURG, MD 20877

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386241685, enumerated as an "individual" on October 08, 2020.

The provider is located at 546 N FREDERICK AVE # 1490 GAITHERSBURG, MD 20877 and the phone number is (301) 948-3250.

Nurse Practitioner with taxonomy code 363L00000X.