Individual provider Active NPI

Matthew Michael Fiori, FNP-BC

  • Family Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1164519963
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2002018021 Issued in MO
Practice address
2505 Mission Dr Ste 210
Jefferson City, MO 65109-9508
Phone
(573) 681-3187
Fax
(573) 681-3645
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2002018021 MO Primary

Addresses

Primary practice location

2505 Mission Dr Ste 210
Jefferson City, MO 65109-9508

Mailing address

100 Saint Marys Medical PLZ
Jefferson City, MO 65101-1602
Phone (573) 632-4325

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mfiori91788@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.om/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050420000311 MO Practitioner - Nurse Practitioner 3476505538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, shared by 13 NPIs, 165 clinicians

Practice addresses (Care Compare)

2505 Mission Dr
Suite 210
Jefferson City, MO 65109-9508
Phone (573) 681-3187

Hospital & facility affiliations

  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002018021MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services CurrentSince Aug 20, 2004 Accepting new patients
SSM Regional Health Services CurrentSince Nov 1, 2017 Accepting new patients
SSM Regional Health Services CurrentSince Aug 20, 2004 Accepting new patients
SSM Regional Health Services Current Accepting new patients
SSM Regional Health Services Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

2511 W Edgewood Dr
Ste G
Jefferson City, MO 65109
Phone (573) 761-0458

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

Interoperability endpoints

  • Direct secure messaging: mfiori91788@direct-ehr-ssmhc.com

Organizations & group practices 5

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1164519963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAINT MARYS MEDICAL PLZ",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651011602",
            "telephone_number": "573-632-4325",
            "fax_number": "573-659-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MISSION DR STE 210",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651099508",
            "telephone_number": "573-681-3187",
            "fax_number": "573-681-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORI",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2002018021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfiori91788@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mfiori91788@direct-ehr-ssmhc.com",
            "address_1": "2505 Mission Dr Ste 210",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651099508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.om/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2505 Mission Dr Ste 210",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651099508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.