Individual provider Active NPI

Matthew Hobbs, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1174162671
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5012689 Issued in NC
Practice address
3608 University Dr Ste 101
Durham, NC 27707-6260
Phone
(919) 433-0170
Fax
(919) 226-0026
NPI assigned
Dec 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5012689 NC Primary

Addresses

Primary practice location

3608 University Dr Ste 101
Durham, NC 27707-6260

Mailing address

3608 University Dr Ste 101
Durham, NC 27707-6260
Phone (919) 433-0170

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
I20200402003384 NC Practitioner - Nurse Practitioner 8729417357 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5012689NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jul 8, 2020 Accepting new patients
Duke University Health System, Inc. Nurse Practitioner Current Accepting new patients
Duke University Health System, Inc. Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
Duke University Health System, Inc. Nurse Practitioner Current Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 8, 2020 Accepting new patients
Carolina Behavioral Care, PA Current Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. PastSince Jan 1, 2020 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. PastSince Jan 1, 2020 Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

2213 Elba St
Durham, NC 27705
Phone (919) 684-0100

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

209 Millstone Dr
#A
Hillsborough, NC 27278
Phone (919) 245-1056

Interoperability endpoints

  • Direct secure messaging: mhobbs465721@direct.medicine.duke.edu

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1174162671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 UNIVERSITY DR STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076260",
            "telephone_number": "919-433-0170",
            "fax_number": "919-226-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 UNIVERSITY DR STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076260",
            "telephone_number": "919-433-0170",
            "fax_number": "919-226-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "MATTHEW",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.