Individual provider Active NPI

Matthan Jackson, DO

  • Family Medicine Physician
  • Elkins, WV
National Provider Identifier
1194170571
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3347 Issued in WV
Practice address
240 Allegheny Hwy
Elkins, WV 26241-5749
Phone
(304) 636-0133
NPI assigned
May 4, 2016
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3347 WV Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

240 Allegheny Hwy
Elkins, WV 26241-5749

Mailing address

240 Allegheny Hwy
Elkins, WV 26241-5749
Phone (304) 636-0133

Other practice location 1

46 Town Center Plz Ste A
Mill Creek, WV 26280-9752
Phone (304) 335-2050

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address mjackson42776@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address mjackson42776@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address mjackson42776@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address mjackson42776@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820000196 WV Practitioner - Family PracticePractitioner - General Practice 7012209380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Allegheny Hwy
Elkins, WV 26241-5749

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Care Inc. CurrentSince May 5, 2025 Accepting new patients
Valley Health Care, Inc Current Accepting new patients
Valley Health Care, Inc CurrentSince May 5, 2025 Accepting new patients
Holbrook Leasing Co LLC Past Accepting new patients

Locations

105 Nathan St
Elkins, WV 26241
Phone (304) 636-7985

240 Allegheny Hwy
Elkins, WV 26241
Phone 30463601332604

46 Town Center Plz
#A
Mill Creek, WV 26280
Phone (304) 335-6005

Interoperability endpoints

  • Direct secure messaging: matthan.jackson.1@7274.direct.athenahealth.com
  • Direct secure messaging: mjackson@yourcarecommunity.org
  • Direct secure messaging: mjackson42776@direct.wvuhsdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1194170571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY HWY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262415749",
            "telephone_number": "304-636-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY HWY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262415749",
            "telephone_number": "304-636-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Town Center Plz Ste A",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WV",
            "postal_code": "262809752",
            "country_code": "US",
            "telephone_number": "304-335-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MATTHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3347",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjackson42776@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Auction Ln",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262018968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjackson42776@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Auction Ln",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262018968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjackson42776@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Auction Ln",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262018968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjackson42776@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Auction Ln",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262018968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.