Joanna Marie Matthews, FNP-BC
Individual provider Active NPI Nurse Practitioner · Elkton, MI
NPI 1366030660 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1366030660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704270254 (MI)
- Practice address
- 4970 Railroad St
Elkton, MI 48731-5155 - Phone
- (989) 375-2214
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scheurer Hospital
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
- Seasons Change Home Health Care
- Scheurer Hospital
- Hills & Dales General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210203000141 | MI | Practitioner - Nurse Practitioner | 9537573506 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704270254 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheurer Hospital | Current |
Accepting new patients | |
| Scheurer Hospital | Current | 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
- jmatthews80187@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704270254 | MI | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmatthews80187@direct.covenanthealthcare.com |
Other providers in Elkton, MI
- Mariah Shay Nicole Cook
- Shirley Anne Jakubec
- Raylee Nicole Jeffers
- Jason James King
- Richard Lockard
- McLaren Thumb Region
- Medical Enterprises Inc
- Alisha Ramsey
- Ross M Ramsey
- Richard E Lockard MD PC
All providers in Elkton, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.