NPIMap

Individual provider Active NPI

Matthew Gatlin, PA-C

  • Physician Assistant
  • Superior, NE
National Provider Identifier
1245552140
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
NE1529 Issued in NE
Practice address
525 E 11TH St
Superior, NE 68978-1101
Phone
(402) 879-4781
Fax
(402) 879-3365
NPI assigned
Feb 18, 2010
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06728 TX
Physician Assistant 363A00000X 15-01506 KS
Physician Assistant 363A00000X 002082 IA
Physician Assistant 363A00000X NE1529 NE Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address SFMC@bmh.securechart.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924001335 NE Practitioner - Physician Assistant 8527184753 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Community Health Center IncGroup PAC ID 2668574542, shared by 5 NPIs, 24 clinicians
Brodstone Memorial HospitalGroup PAC ID 4082513015, shared by 5 NPIs, 12 clinicians
Webster County Community HospitalGroup PAC ID 5395710990, shared by 3 NPIs, 6 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1529NEMDProfessional Counselor
002082IAMDSpeech-Language Pathologist
15-01506KSMDPhysician Assistant
NE1529NEMDPhysician Assistant
PA06728TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saunders Medical Center CurrentSince Aug 9, 2021 Accepting new patients
Crete Area Medical Center CurrentSince Dec 24, 2025 Accepting new patients
Brodstone Memorial Hospital Physician Assistant CurrentSince Aug 2, 2010 Accepting new patients
Jefferson Community Health Center Inc CurrentSince Apr 24, 2024 Accepting new patients
Crete Area Medical Center CurrentSince Dec 24, 2025 Accepting new patients
Brodstone Memorial Hospital Current Accepting new patients
Jefferson Community Health Center, Inc. CurrentSince Apr 24, 2024 Accepting new patients
York General Hospital Current Accepting new patients
Crete Area Medical Center CurrentSince Dec 24, 2025 Accepting new patients
York General Hospital CurrentSince Aug 1, 2025 Accepting new patients
Jefferson Community Health Center Inc Physician Assistant CurrentSince Apr 24, 2024 Accepting new patients
Brodstone Memorial Hospital CurrentSince Aug 2, 2010 Accepting new patients
York General Hospital CurrentSince Aug 1, 2025 Accepting new patients
Jefferson Community Health Center, Inc. Past Accepting new patients
Fairbury Clinic, P.C. 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

520 E 10th St
Superior, NE 68978
Phone (402) 224-3344

525 E 11th St
Superior, NE 68978
Phone (402) 879-4781

1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/06e9d567-9657-447f-97fb-d967654387e7/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/2b9c31ea-6ddc-4b55-946f-2c60cc32be99/
  • Direct secure messaging: matthew.gatlin.p1@direct.rwgcrhc.nextgenshare.com
  • Direct secure messaging: sfmc@bmh.securechart.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1245552140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 11TH ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781101",
            "telephone_number": "402-879-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 11TH ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781101",
            "telephone_number": "402-879-4781",
            "fax_number": "402-879-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06728",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01506",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002082",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "NE1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SFMC@bmh.securechart.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "525 E 11th St",
            "city": "Superior",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689781101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Superior, NE

Sources for this page

Verify at the official NPI Registry.