Individual provider Active NPI

Matthew Hockert, PA-C

  • Physician Assistant
  • Fargo, ND
National Provider Identifier
1144842089
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0838 Issued in ND
Practice address
4450 31St Ave S Ste 200
Fargo, ND 58104-4598
Phone
(701) 293-9829
Fax
(701) 293-0111
NPI assigned
May 14, 2020
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X ND
Physician Assistant 363A00000X PAC0838 ND Primary

Addresses

Primary practice location

4450 31St Ave S Ste 200
Fargo, ND 58104-4598

Mailing address

4450 31St Ave S Ste 200
Fargo, ND 58104-4598
Phone (701) 293-9829

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhockert@rcfargo.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20200825003177 ND Practitioner - Physician Assistant 3779900519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants, LTDGroup PAC ID 7618936568, 5 clinicians

Practice addresses (Care Compare)

4450 31St Ave S
Suite 200
Fargo, ND 58104-4556
Phone (701) 293-9829

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1144842089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044598",
            "telephone_number": "701-293-9829",
            "fax_number": "701-293-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044598",
            "telephone_number": "701-293-9829",
            "fax_number": "701-293-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKERT",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhockert@rcfargo.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Send/receive CCDA only",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4450 31st Ave S Ste 200",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581044598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.