NICOLE MATHEWS DO
NPI 1972208817
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Q: What is Nicole Mathews's NPI number?

The NPI number for Nicole Mathews is 1972208817. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Nicole Mathews's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mathews was last updated on June 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2023PECOS Enrolled

1920 W 1ST ST, WINSTON SALEM, NC 27104(336) 716-4479 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2026, Mar 31, 2023 (2 updates tracked since 2023).

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About Nicole Mathews Do NPPES

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

NICOLE MATHEWS DO (NPI 1972208817) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1972208817

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE MATHEWSCredential: DO

Location Address1920 W 1ST STWinston Salem, NC 27104-4220

Mailing Address2200 16th St NSt Petersburg, FL 33704-3106

Phone(336) 716-4479

Sole ProprietorNo

Enumeration DateMarch 31, 2023

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1972208817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1920 W 1ST ST, Winston Salem, NC 27104

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Secondary Practice Location 1

Location 12200 16th St NSt Petersburg, FL 33704-3106 · Phone (813) 780-8440

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Mathews Do 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.