GWYNETH N MATTINGLY FNPC
NPI 1982054672
Nurse Practitioner - Family in Old Town, ME

Q: What is Gwyneth Mattingly's NPI number?

The NPI number for Gwyneth Mattingly is 1982054672. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Gwyneth Mattingly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gwyneth Mattingly was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment

242 BRUNSWICK ST, OLD TOWN, ME 04468(207) 827-6128 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2021, Jun 30, 2016, Jun 14, 2016 (3 updates tracked since 2016).

On this page

About Gwyneth N Mattingly Fnpc NPPES

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

GWYNETH N MATTINGLY FNPC (NPI 1982054672) is an individual family provider in Old Town, Maine, licensed in Maine (CNP161067) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Penobscot Valley Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1982054672

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGWYNETH N MATTINGLYCredential: FNPC

Location Address242 BRUNSWICK STOld Town, ME 04468-1613

Mailing AddressPo Box 1599Bangor, ME 04402-1599

Phone(207) 827-6128

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 14, 2016

Last NPPES UpdateJanuary 11, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2024

✔ NPI 1982054672 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 ME · CNP161067

242 BRUNSWICK ST, Old Town, ME 04468

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Gwyneth N Mattingly Fnpc 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 ID941594212

PECOS Enrollment IDI20160809002122

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

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

24 services22 patients

Hospital Affiliations CMS Care Compare

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

Penobscot Valley Hospital

Critical Access Hospitals · Lincoln, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201303

Location7 Transalpine Road, PO Box 368Lincoln, ME 04457 · Penobscot County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04468 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

Other Providers at the Same Location NPPES 20

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

CHRISTINE ANN CRITTENDEN RICHARD LCSW

Social Worker (Clinical)