Active NPI
Matraca Gunnoe, APRN
- Family Nurse Practitioner
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 103822
- Practice address
- 1 Medical Center Dr
Morgantown, WV 26506-1200 - Phone
- (304) 598-4000
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP021913 | PA | |
| Family Nurse Practitioner | 363LF0000X | AC002833 | MD | |
| Family Nurse Practitioner | 363LF0000X | 103822 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Morgantown, WV 26506-1200
Mailing address
1 Medical Center Dr
Morgantown, WV 26506-1200
Other practice location 1
451 Murtha Dr
Waynesburg, PA 15370-7010
Phone (724) 627-3379
Other practice location 2
250 Maple St
Friendsville, MD 21531-2122
Phone (301) 746-4160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158232100 | Medicaid | MD | |
| 1366094823 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhovatter15565@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24441 Garrett Hwy
MC Henry, MD 21541-1311
Phone (301) 387-8718
250 Retail Cir
Suite 106
Morgantown, WV 26508-1647
Phone (304) 598-4881
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021913 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc. | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Wvu Medical Corporation | Current | Accepting new patients | |
| West Virginia University Hospitals Inc | Current | Accepting new patients |
Locations
250 Maple St
Friendsville, MD 21531
Phone (301) 746-4160
311 N 4th St
Oakland, MD 21550
Phone (301) 334-7420
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
100 Stoney Hill Rd
Fairmont, WV 26554
Phone (304) 285-5400
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
608 Cheat Rd
Morgantown, WV 26508
Phone (304) 594-1313
390 Birch St
Morgantown, WV 26506
Phone (304) 285-7200
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
Interoperability endpoints
- mhovatter15565@direct.wvuhsdirect.com
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Oakland, MD
- NPI 1265819866
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1598847634
-
- Rehabilitation Hospital Unit
- Morgantown, WV
- NPI 1760209225
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1164828224
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grantsville, MD
- NPI 1881361442
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
-
- General Acute Care Hospital
- Oakland, MD
- NPI 1598417412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1366094823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200",
"telephone_number": "304-598-4000"
}
],
"practiceLocations": [
{
"address_1": "451 Murtha Dr",
"address_purpose": "LOCATION",
"city": "Waynesburg",
"state": "PA",
"postal_code": "153707010",
"country_code": "US",
"telephone_number": "724-627-3379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Maple St",
"address_purpose": "LOCATION",
"city": "Friendsville",
"state": "MD",
"postal_code": "215312122",
"country_code": "US",
"telephone_number": "301-746-4160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNNOE",
"first_name": "MATRACA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP021913",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC002833",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "103822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158232100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366094823",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhovatter15565@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "390 Birch St",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265059042",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.