Matthew Gatlin, PA-C
Individual provider Active NPI Physician Assistant · Superior, NE
NPI 1245552140 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1245552140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- NE1529 (NE)
- Practice address
- 525 E 11TH St
Superior, NE 68978-1101 - Phone
- (402) 879-4781
- Fax
- (402) 879-3365
- NPI assigned
- Feb 18, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson Community Health Center Inc
Brodstone Memorial Hospital
Webster County Community Hospital
Practice addresses (Care Compare)
2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351
520 E 10TH St
Superior, NE 68978-1225
Phone (402) 879-3281
5427 Hwy 136
Deshler, NE 68340-9845
Phone (402) 207-1132
721 W 6TH Ave
Red Cloud, NE 68970-2278
Phone (402) 746-5614
Hospital & facility affiliations
- Brodstone Healthcare
- York General Health Care Services
- Jefferson Community Health & Life
- The Nebraska Medical Center
- Bryan Medical Center
- Brodstone Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924001335 | NE | Practitioner - Physician Assistant | 8527184753 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1529 | NE | MD | Professional Counselor |
| 15-01506 | KS | MD | Physician Assistant |
| NE1529 | NE | MD | Physician Assistant |
| PA06728 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional West Garden County | Current |
Accepting new patients | |
| Jefferson Community Health Center Inc | Physician Assistant | Current |
Accepting new patients |
| Crete Area Medical Center | Current |
Accepting new patients | |
| Saunders Medical Center | Current |
Accepting new patients | |
| York General Hospital | Current | Accepting new patients | |
| York General Hospital | Current |
Accepting new patients | |
| Crete Area Medical Center | Current |
Accepting new patients | |
| Jefferson Community Health Center Inc | Current |
Accepting new patients | |
| Crete Area Medical Center | Current |
Accepting new patients | |
| Brodstone Memorial Hospital | Current | Accepting new patients | |
| York General Hospital | Current |
Accepting new patients | |
| Jefferson Community Health Center, Inc. | Current |
Accepting new patients | |
| Brodstone Memorial Hospital | Current |
Accepting new patients | |
| Fairbury Clinic, P.C. | Past | Accepting new patients | |
| Jefferson Community Health Center, Inc. | Past | Accepting new patients | |
| York General Hospital | Past | Accepting new patients |
Locations
2910 Betten Dr
Crete, NE 68333
Phone (402) 826-1191
2200 H St
Fairbury, NE 68352
Phone (402) 729-3351
2200 H St
#277
Fairbury, NE 68352
Phone (402) 729-3351
1100 W 2nd St
Oshkosh, NE 69154
Phone (308) 772-3283
525 E 11th St
Superior, NE 68978
Phone (402) 879-4781
520 E 10th St
Superior, NE 68978
Phone (402) 224-3344
1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191
2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420
Interoperability endpoints
- sfmc@bmh.securechart.com
- https://fhir-myrecord.cerner.com/r4/2b9c31ea-6ddc-4b55-946f-2c60cc32be99/
- matthew.gatlin.p1@direct.rwgcrhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06728 | TX | |
| Physician Assistant | 363A00000X | 15-01506 | KS | |
| Physician Assistant | 363A00000X | 002082 | IA | |
| Physician Assistant | 363A00000X | NE1529 | NE | Yes |
Addresses
Primary practice location
525 E 11TH St
Superior, NE 68978-1101
Mailing address
525 E 11TH St
Superior, NE 68978-1101
Phone (402) 879-4781
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SFMC@bmh.securechart.com | Direct |
Other providers in Superior, NE
- Nikki Renae Felmlee
- Steve Abe Fox
- Teresa B Frahm
- Charles Fullerton
- Bradley J Gardner
- Belinda Genung
- Faith Gilligan
- Kayla M Golay
- Jodi Grabast
- Marcia Gray
All providers in Superior, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.