Individual provider Active NPI

Matthew Aaron Calcutt

  • Acute Care Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1154906170
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5014196 Issued in NC
Practice address
960 Newman Rd
New Bern, NC 28562-5200
Phone
(252) 633-6730
Fax
(252) 633-6740
NPI assigned
Mar 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 5014196 NC Primary

Addresses

Primary practice location

960 Newman Rd
New Bern, NC 28562-5200

Mailing address

2311 Oakview Dr
New Bern, NC 28562-8585
Phone (252) 876-8471

Other practice location 1

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8111

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL email

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210414002163 NC Practitioner - Nurse Practitioner 6507274453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast Physicians 203 clinicians

Practice addresses (Care Compare)

960 Newman Rd
Cardiac Thoracic and Vascular Surgery
New Bern, NC 28562-5200
Phone (252) 633-6730

Hospital & facility affiliations

  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014196NCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Multi-Specialty CurrentSince Mar 22, 2021 Accepting new patients
Carolinaeast Physicians Multi-Specialty Current Accepting new patients
Carolinaeast Physicians Multi-Specialty CurrentSince Mar 22, 2021 Accepting new patients
Carolinaeast Physicians Multi-Specialty Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

960 Newman Rd
New Bern, NC 28562
Phone (252) 633-6730

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Interoperability endpoints

  • Direct secure messaging: mcalcutt19454@carolinaeastmc.direct-ci.com

Organizations & group practices 6

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 1

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1154906170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 OAKVIEW DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285628585",
            "telephone_number": "252-876-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625200",
            "telephone_number": "252-633-6730",
            "fax_number": "252-633-6740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Neuse Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285603449",
            "country_code": "US",
            "telephone_number": "252-633-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALCUTT",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5014196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "960 Newman Rd",
            "city": "New Bern",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285625200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.