NPIMap

Individual provider Active NPI

Matthew D Starr, CRNP

  • Nurse Practitioner
  • Kittanning, PA
National Provider Identifier
1063486868
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP006496B Issued in PA
Practice address
316 1St Ave
Suite 275
Kittanning, PA 16201-2264
Phone
(724) 545-2205
Fax
(724) 545-2600
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TP006496B PA Primary

Addresses

Primary practice location

316 1St Ave
Suite 275
Kittanning, PA 16201-2264

Mailing address

316 1St Ave
Suite 275
Kittanning, PA 16201-2264
Phone (724) 545-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001139 PA Practitioner - Nurse Practitioner 3072501188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

77 Glade Dr
Kittanning, PA 16201-7140
Phone (724) 545-2205

Hospital & facility affiliations

  • Acmh Hospital Hospital, Kittanning, PA, CCN 390163
  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TP006496BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glade Run Medical Associates CurrentSince Aug 20, 2012 Accepting new patients
Glade Run Medical Associates Inc CurrentSince Aug 20, 2012 Accepting new patients
Glade Run Medical Associates Inc Current Accepting new patients
Armstrong Orthopedic Associates LLC Past Accepting new patients
Emergency Medicine Associates PC Past Accepting new patients

Locations

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

316 1st Ave
Ste 275
Kittanning, PA 16201
Phone (724) 545-2200

700 Medical Arts Bldg
Ste 710
Kittanning, PA 16201
Phone (724) 543-8626

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

Interoperability endpoints

  • Direct secure messaging: matthew.starr@1ah.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1063486868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 1ST AVE",
            "address_2": "SUITE 275",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012264",
            "telephone_number": "724-545-2205",
            "fax_number": "724-545-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 1ST AVE",
            "address_2": "SUITE 275",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012264",
            "telephone_number": "724-545-2205",
            "fax_number": "724-545-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP006496B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.