BRENDA KAY MATHEWS-VITELLO (CRNP) – Family Nurse Practitioner, NPI 1003084237

BRENDA KAY MATHEWS-VITELLO (CRNP) is a healthcare provider. based in Annapolis, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R154292 (MD). The NPI Number for BRENDA KAY MATHEWS-VITELLO (CRNP) is 1003084237

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA KAY MATHEWS-VITELLO (CRNP)
NPI
1003084237
Phone
(410) 897-9841
Address
116 DEFENSE HWY
Enumeration Date
11 February 2008
Last Update Date
27 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4106597041
Graduation Year
2007 (19 years ago)
PAC ID
1254586910
Group Practice PAC ID
3274801139
Professional Enrollment ID
I20130301000325
Address ID
MD212022102BA301XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,763 NURSE PRACTITIONER in MD

Provider Addresses for BRENDA KAY MATHEWS-VITELLO (CRNP)

  • 116 DEFENSE HWY

    SUITE 400

    ANNAPOLIS, MD 214017027

    Phone: (410) 897-9841

    Fax: (410) 897-9852

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130301000325INurse PractitionerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 21401)

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Provider's Procedures

BRENDA KAY MATHEWS-VITELLO (CRNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMD81002Urinalysis, manual test127119

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274801139View full group profile
NameSpecialtyState
Nurse PractitionerMD
-MD
-MD
Physician AssistantMD
Internal MedicineMD
Internal MedicineDC
Nurse PractitionerMD
Nurse PractitionerMD
Family PracticeMD
Internal MedicineMD

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Frequently asked questions

How do I look up BRENDA KAY MATHEWS-VITELLO (CRNP) by NPI?
Use NPI 1003084237 when you need to reference BRENDA KAY MATHEWS-VITELLO (CRNP) in forms, claims, or directories.
Is BRENDA KAY MATHEWS-VITELLO (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRENDA KAY MATHEWS-VITELLO (CRNP)'s specialty in plain language?
Clinically, the directory lists BRENDA KAY MATHEWS-VITELLO (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRENDA KAY MATHEWS-VITELLO (CRNP)?
The page summarizes Annapolis, Maryland for BRENDA KAY MATHEWS-VITELLO (CRNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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