Individual provider Active NPI

Matthew Bonner McLain, ACNP-BC

  • Acute Care Nurse Practitioner
  • Potsdam, NY
National Provider Identifier
1063846525
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431441 Issued in NY
Practice address
50 Leroy St
Potsdam, NY 13676-1786
Phone
(315) 265-3300
NPI assigned
Sep 2, 2013
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 431441 NY
Acute Care Nurse Practitioner 363LA2100X 1-106178 AL
Acute Care Nurse Practitioner 363LA2100X 011504 CT
Acute Care Nurse Practitioner 363LA2100X AP61314864 WA
Acute Care Nurse Practitioner 363LA2100X 431441 NY Primary

Addresses

Primary practice location

50 Leroy St
Potsdam, NY 13676-1786

Mailing address

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

Other practice location 1

134 N 4th St
Brooklyn, NY 11249-3296
Phone (215) 585-2144

Other practice location 2

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY, ME, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20141209002407 AL Practitioner - Nurse Practitioner 0749502391 Reassigns benefits to 1 organization
I20190401000205 NY Practitioner - Nurse Practitioner 0749502391 Reassigns benefits to 8 organizations
I20211102000981 ME Practitioner - Nurse Practitioner 0749502391
I20230217000899 CT Practitioner - Nurse Practitioner 0749502391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massena Hospital IncGroup PAC ID 1456781491, shared by 3 NPIs, 45 clinicians
River Hospital IncGroup PAC ID 2567372899, 36 clinicians
Emergency Physician Services of New York, P.C.Group PAC ID 8325939804, 128 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians
Hospitalist Medicine Physicians of Connecticut - TCSGroup PAC ID 8729449541, 15 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Massena, NY 13662-1056

4 Fuller St
Alex Bay, NY 13607-1316
Phone (315) 482-2511

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011504CTMDPediatrics Physician
431441NYMDNurse Practitioner
1-106178ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Nurse Practitioner CurrentSince Apr 20, 2019 Accepting new patients
River Hospital, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jun 1, 2019 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jun 1, 2019 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Jan 1, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2014 Accepting new patients
Canton-Potsdam Hospital CurrentSince Dec 19, 2023 Accepting new patients
Canton-Potsdam Hospital CurrentSince Dec 19, 2023 Accepting new patients
Massena Hospital, Inc CurrentSince Oct 17, 2025 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jan 13, 2026 Accepting new patients
River Hospital, Inc. Acute Care CurrentSince Feb 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Connecticut - TCS CurrentSince Mar 26, 2024 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Sep 30, 2022 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Apr 1, 2019 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jan 13, 2026 Accepting new patients
Massena Hospital Inc CurrentSince Oct 17, 2025 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

515 Main St
Olean, NY 14760
Phone (716) 373-2600

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1160 Chili Ave
Ste 200
Rochester, NY 14624
Phone (585) 235-1514

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

780 Swift Blvd
Ste 101
Richland, WA 99352
Phone (509) 942-3060

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 3

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": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1063846525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-3300",
            "fax_number": "315-261-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112493296",
            "country_code": "US",
            "telephone_number": "215-585-2144",
            "fax_number": "267-780-7032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-946-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "MATTHEW",
        "middle_name": "BONNER",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-02",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "431441",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-106178",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "011504",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP61314864",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

Verify at the official NPI Registry.