Individual provider Active NPI

Matthew Seth Egan, FNP-BC

  • Nurse Practitioner
  • Coal Grove, OH
National Provider Identifier
1104582113
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0030212 Issued in OH
Practice address
205 Marion Pike
Coal Grove, OH 45638-3165
Phone
(740) 532-1183
NPI assigned
Nov 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 0030212 OH Primary

Addresses

Primary practice location

205 Marion Pike
Coal Grove, OH 45638-3165

Mailing address

PO Box 1680
Huntington, WV 25717-1680
Phone (304) 781-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220107000132 WV Practitioner - Nurse Practitioner 9234520909 Reassigns benefits to 5 organizations
I20220119000662 OH Practitioner - Nurse Practitioner 9234520909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

1100 Hospital Dr
Hurricane, WV 25526-8712
Phone (304) 757-8683

6350 US Route 60 E
Barboursville, WV 25504-1232
Phone (304) 399-3350

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0030212OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Nurse Practitioner CurrentSince Dec 28, 2021 Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 28, 2021 Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 28, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 28, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc CurrentSince Dec 28, 2021 Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 28, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 28, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients

Locations

205 Marion Pike
Ironton, OH 45638
Phone (740) 532-1188

6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350

864 Oakwood Rd
Charleston, WV 25314
Phone (304) 343-2807

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

1100 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-8683

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: megan20281@valleyhealthsystems.direct-ci.com

Organizations & group practices 11

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 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": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1104582113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680",
            "telephone_number": "304-781-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARION PIKE",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456383165",
            "telephone_number": "740-532-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "MATTHEW",
        "middle_name": "SETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-14",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0030212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Grove, OH

Sources for this page

Verify at the official NPI Registry.