Matthew John Pernice, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

353340 Issued in NY

Practice address

696 Dutchess Tpke
Poughkeepsie, NY 12603-6444

Phone

(845) 204-9260

NPI assigned

Feb 9, 2013

Reactivated

Dec 20, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Anderson Medical PC Dba Emergency OneGroup PAC ID 0648161653, 22 clinicians

Ashraf Medical Group PLLCGroup PAC ID 1850560830, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.pernice@ghuc.eclinicaldirectplus.com
• Direct secure messaging: mpernice@pulse-mdurgentcare.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anderson Medical P.C. Dba Emergency One

  • Urgent Care Clinic/Center
  • Kingston, NY
  • NPI 1114043411
  Medicare reassignment Care Compare group NPD
• Ashraf Medical Group PLLC

  dba Pulse-MD Urgent Care

  • Urgent Care Clinic/Center
  • Wappingers Falls, NY
  • NPI 1821387382
  Medicare reassignment Care Compare group NPD
• North Shore Lij, Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Rockville Centre, NY
  • NPI 1679970891
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1033458179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WINDSOR DR",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "124435328",
            "telephone_number": "631-680-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 DUTCHESS TPKE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036444",
            "telephone_number": "845-204-9260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Route 376 Ste H",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125906496",
            "country_code": "US",
            "telephone_number": "845-204-9260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERNICE",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-09",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "deactivation_date": "2023-12-14",
        "reactivation_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353340",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "660053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Peritz, LCSWR
• Sarah Perkes
• Ceyanne S Perkins
• Richard B. Perkins, MD
• Sally A Perkins, ATC
• Candy Perotti, COTA
• Marrie Gum Perrin, CASAC
• Maria Perrius, LPN
• Ashali Perry
• Maria Perryman, LPN

• Family Nurse Practitioner in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.