Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tania Marie Mattioli, NP

Individual provider Nurse Practitioner · NPI 1396184362

Mrs. Tania Marie Mattioli, NP is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2013, 13 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

190 Kimel Park Dr Ste 155
Winston Salem, NC 27103-6946
Phone: (336) 765-6637
Fax: (336) 765-6964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 111 Gateway Center Dr, Kernersville, NC 27284-2999 — (336) 996-2173
  • 190 Kimel Park Dr Ste 140, Winston Salem, NC 27103-6946 — (336) 277-2225
  • 50 Miller St Ste I, Winston Salem, NC 27104-4206 — (336) 277-2225

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5006244 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 209505 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5006244 (NC)

Record details

NPI number1396184362
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 22, 2013
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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