Individual provider Active NPI

Matthew James Pearson, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1306687702
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP030968 Issued in PA
Practice address
802 New Holland Ave Ste 100
Lancaster, PA 17602-2288
Phone
(717) 560-3782
Fax
(717) 560-3787
NPI assigned
Jun 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP030968 PA Primary

Addresses

Primary practice location

802 New Holland Ave Ste 100
Lancaster, PA 17602-2288

Mailing address

802 New Holland Ave Ste 100
Lancaster, PA 17602-2288
Phone (717) 344-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250314000607 PA Practitioner - Nurse Practitioner 9032631411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

802 New Holland Ave
100 Penn Medicine Lancaster General Health
Lancaster, PA 17602-2288
Phone (717) 544-1427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030968PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Feb 2, 2025 Accepting new patients
Lancaster General Hospital CurrentSince Sep 18, 2025 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 2, 2025 Accepting new patients
Lancaster General Medical Group Psychiatric/Mental Health Current Accepting new patients
Lancaster General Hospital CurrentSince Sep 18, 2025 Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

802 New Holland Ave
Ste 100
Lancaster, PA 17602
Phone (717) 544-1427

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1306687702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 NEW HOLLAND AVE STE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022288",
            "telephone_number": "717-344-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NEW HOLLAND AVE STE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022288",
            "telephone_number": "717-560-3782",
            "fax_number": "717-560-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP030968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.