NPIMap

Individual provider Active NPI

Matthew J May, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1306195102
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
167884 Issued in AK
Practice address
240 Hospital PL Ste 103
Soldotna, AK 99669-7559
Phone
(907) 260-5455
Fax
(907) 714-3111
NPI assigned
Sep 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 167884 AK Primary
Registered Nurse First Assistant 163WR0006X 33069 AK

Addresses

Primary practice location

240 Hospital PL Ste 103
Soldotna, AK 99669-7559

Mailing address

291 N Fireweed St
Soldotna, AK 99669-7540
Phone (907) 262-6454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmay89480@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20201130001806 AK Practitioner - Nurse Practitioner 3971914748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Peninsula General Hospital Inc 119 clinicians

Practice addresses (Care Compare)

240 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4130

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33069AKMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Peninsula General Hospital, Inc CurrentSince Jan 15, 2021 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Jan 15, 2021 Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital Inc Past Accepting new patients
Central Peninsula General Hospital Inc Past Accepting new patients

Locations

240 Hospital Pl
Soldotna, AK 99669
Phone (907) 262-7762

291 N Fireweed St
Soldotna, AK 99669
Phone (907) 262-6454

240 Hospital Pl
Ste 204B
Soldotna, AK 99669
Phone (907) 714-4120

240 Hospital Pl
Ste 103
Soldotna, AK 99669
Phone (907) 260-5455

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

240 Hospital Pl
Ste 204
Soldotna, AK 99669
Phone (907) 252-8063

Interoperability endpoints

  • Direct secure messaging: mmay89480@ak.providencedirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1306195102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N FIREWEED ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697540",
            "telephone_number": "907-262-6454",
            "fax_number": "907-262-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL PL STE 103",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697559",
            "telephone_number": "907-260-5455",
            "fax_number": "907-714-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "167884",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AK",
            "license": "33069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmay89480@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "240 Hospital Pl Ste 103",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.