Betsy A Mathew, NP-C
Nurse Practitioner, Family in Spencer, OK. Individual provider (NPI-1).
NPI number1639779986
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1639779986
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Betsy A Mathew
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 13, 2020
- Last updated
- Oct 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 113774 | OK | Yes |
Practice location
12716 Ne 36th StSpencer, OK 73084-9167
Phone 405-769-3301
Mailing address
2005 Alliyah CtYukon, OK 73099-7724
Phone 405-210-1548
Is something wrong?
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Other Family Nurse Practitioner providers in Spencer, OK
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