Matthew A Privett, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F346519 Issued in NY

Practice address

281 Root Rd
Brockport, NY 14420-9730

Phone

(585) 395-9158

NPI assigned

Nov 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.privett@flch.eclinicaldirectplus.com

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.

• Finger Lakes Community Health

  • Federally Qualified Health Center (FQHC)
  • Port Byron, NY
  • NPI 1114198819

  Single Specialty

  Medicare reassignment NPD
• Finger Lakes Community Health

  • Federally Qualified Health Center (FQHC)
  • Dundee, NY
  • NPI 1366939878
  NPD
• Finger Lakes Community Health

  • Federally Qualified Health Center (FQHC)
  • Sodus, NY
  • NPI 1669568465

  Single Specialty

  NPD (past)
• Finger Lakes Migrant Health Care Project, Inc.

  • Federally Qualified Health Center (FQHC)
  • Penn Yan, NY
  • NPI 1417643453
  NPD (past)

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1285270645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 ROOT RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144209730",
            "telephone_number": "585-395-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 ROOT RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144209730",
            "telephone_number": "585-395-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVETT",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "485518-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Pericozzi, PT, DPT
• Daniel P Perry, D.C.
• Erik Peterson, D.O.
• Kayleigh Anne Plumeau, DPT
• Amy Sue Pringle, LPN
• Jennifer Jeanne Proia-Cessna, OPTICIAN
• Michael Lee Raff, OD
• Julieann Meredith Ragone, DVM
• Rajendra Mehta and Leena Mehta Physicians PC
• Linda Ranalletti, RDH

• Family Nurse Practitioner in Brockport, NY
• Providers in Brockport, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.