Individual provider Active NPI

Benjamin Craig Matthews, ARNP

  • Family Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1205372604
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60724870 Issued in WA
Practice address
4250 Martin Way E Ste 105
Olympia, WA 98516-5317
Phone
(866) 599-3376
NPI assigned
Jan 10, 2017
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 AP60724870 WA Primary

Addresses

Primary practice location

4250 Martin Way E Ste 105
Olympia, WA 98516-5317

Mailing address

1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170310001731 WA Practitioner - Nurse Practitioner 0547544587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

1020 Anderson Dr
Suite 204
Aberdeen, WA 98520-1055
Phone (866) 599-3376

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60724870WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC CurrentSince Jan 25, 2017 Accepting new patients
Silver Falls Dermatology, LLC CurrentSince Jan 25, 2017 Accepting new patients

Locations

1793 13th St SE
Salem, OR 97302
Phone 50336283851283

1020 Anderson Dr
Ste 204
Aberdeen, WA 98520
Phone (360) 986-3004

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

3825 Martin Way E
Ste 104
Olympia, WA 98506
Phone (971) 915-8579

4250 Martin Way E
Ste 105
Olympia, WA 98516
Phone (360) 486-0640

Interoperability endpoints

  • Direct secure messaging: bmatthews@frontierdermpartners.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1205372604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 MARTIN WAY E STE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165317",
            "telephone_number": "866-599-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BENJAMIN",
        "middle_name": "CRAIG",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60724870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.