NPIMap

Individual provider Active NPI

Joanna Marie Matthews, FNP-BC

  • Nurse Practitioner
  • Elkton, MI
National Provider Identifier
1366030660
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704270254 Issued in MI
Practice address
4970 Railroad St
Elkton, MI 48731-5155
Phone
(989) 375-2214
NPI assigned
Jan 4, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704270254 MI Primary

Addresses

Primary practice location

4970 Railroad St
Elkton, MI 48731-5155

Mailing address

4970 Railroad St
Elkton, MI 48731-5155
Phone (989) 375-2214

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmatthews80187@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210203000141 MI Practitioner - Nurse Practitioner 9537573506 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
Scheurer HospitalGroup PAC ID 1456242296, 49 clinicians

Practice addresses (Care Compare)

4970 Railroad St
Elkton, MI 48731-5155
Phone (989) 375-2214

75 Buschlen Rd
Bad Axe, MI 48413-9177
Phone (989) 623-9300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scheurer Hospital CurrentSince Jan 18, 2021 Accepting new patients
Scheurer Hospital CurrentSince Jan 18, 2021 Accepting new patients
Scheurer Hospital Current Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients

Locations

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

168 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-2141

Interoperability endpoints

  • Direct secure messaging: jmatthews80187@direct.covenanthealthcare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1366030660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 RAILROAD ST",
            "city": "ELKTON",
            "state": "MI",
            "postal_code": "487315155",
            "telephone_number": "989-375-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 RAILROAD ST",
            "city": "ELKTON",
            "state": "MI",
            "postal_code": "487315155",
            "telephone_number": "989-375-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704270254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmatthews80187@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "4970 Railroad St",
            "city": "Elkton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487315155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkton, MI

Sources for this page

Verify at the official NPI Registry.