Individual provider Active NPI

Matthew J Hines, ARNP

  • Acute Care Nurse Practitioner
  • Washington, IA
National Provider Identifier
1154840353
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
H126919 Issued in IA
Practice address
400 East Polk Street
Washington, IA 52353-1237
Phone
(319) 653-5481
NPI assigned
Sep 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X H126919 IA Primary

Addresses

Primary practice location

400 East Polk Street
Washington, IA 52353-1237

Mailing address

PO Box 909
Washington, IA 52353-0909
Phone (319) 653-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20171017000593 IA Practitioner - Nurse Practitioner 7618243874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County Hospital 39 clinicians

Practice addresses (Care Compare)

400 E Polk St
Washington, IA 52353-1237
Phone (319) 653-5481

400 E Polk St WCHC Specialty Clinic
Ken and Rosemary Hanson Specialty Clinic
Washington, IA 52353-1237
Phone (319) 653-5481

PO Box
Suite 909
Washington, IA 52353-0909

Hospital & facility affiliations

  • Washington County Hospital and Clinics Hospital, Washington, IA, CCN 161344
  • Washington County Hospital and Clinics Nursing home, CCN 16Z344

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital CurrentSince Sep 28, 2018 Accepting new patients
Washington County Hospital CurrentSince Sep 28, 2018 Accepting new patients
Washington County Hospital CurrentSince Oct 1, 2025 Accepting new patients
Washington County Hospital Past Accepting new patients
Washington County Hospital Past Accepting new patients

Locations

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/washin-6836dd27
  • Direct secure messaging: mhines57305@uihcdirect.org

Organizations & group practices 10

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 4

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1154840353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523530909",
            "telephone_number": "319-653-5481",
            "fax_number": "319-863-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST POLK STREET",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-653-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H126919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.