Individual provider Active NPI

Ryan Royston Matthews, CRNP

  • Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1376006643
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020258 Issued in PA
Practice address
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone
(240) 964-7000
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 SP020258 PA Primary

Addresses

Primary practice location

12500 Willowbrook Rd
Cumberland, MD 21502-6393

Mailing address

PO Box 1671
Cumberland, MD 21501-1671
Phone (240) 964-8568

Other practice location 1

16 Rose St
Johnstown, PA 15905-4327
Phone (814) 539-0257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190620000159 PA Practitioner - Nurse Practitioner 6103150404 Reassigns benefits to 8 organizations
I20230420000269 MD Practitioner - Nurse Practitioner 6103150404 Reassigns benefits to 1 organization

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
Upmc Western Maryland Health Services LLCGroup PAC ID 7113396011, 162 clinicians

Practice addresses (Care Compare)

12502 Willowbrook Rd
Suite 280
Cumberland, MD 21502-6494
Phone (240) 964-8750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Sep 1, 2021 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Altoona CurrentSince Sep 1, 2021 Accepting new patients
Upmc Bedford Memorial CurrentSince Sep 1, 2021 Accepting new patients
Pinnacle Health Emergency Department Services LLC Nurse Practitioner CurrentSince Jun 13, 2022 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinc CurrentSince Aug 1, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Lifeline Medical Center CurrentSince Sep 27, 2024 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2024 Accepting new patients
Regional Health Services Inc CurrentSince Jan 4, 2023 Accepting new patients
Upmc Bedford Memorial CurrentSince Sep 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

100 N Academy Ave
Danville, PA 17822

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

1415 Eisenhower Blvd
#B
Johnstown, PA 15904
Phone (814) 266-1616

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1376006643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026393",
            "telephone_number": "240-964-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Rose St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054327",
            "country_code": "US",
            "telephone_number": "814-539-0257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "RYAN",
        "middle_name": "ROYSTON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.