Individual provider Active NPI

Matthew Brett Schachterle, PA-C

  • Physician Assistant
  • Surprise, AZ
National Provider Identifier
1376140335
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948
Phone
(623) 850-0026
Fax
(623) 850-0027
NPI assigned
Oct 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948

Mailing address

16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948
Phone (623) 850-0026

Other practice location 1

8989 W Alda Way
Peoria, AZ 85382-1013
Phone (360) 823-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230412000397 AZ Practitioner - Physician Assistant 2567837289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Medical Group LLCGroup PAC ID 1153693379, 7 clinicians

Practice addresses (Care Compare)

652 E Warner Rd
Suite 107
Gilbert, AZ 85296-3073
Phone 4805398680123

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: matthew.schachterle.p1@direct.primemedicalgroup.nextgenshare.com

Organizations & group practices 3

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1376140335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16928 W BELL RD STE 701",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748948",
            "telephone_number": "623-850-0026",
            "fax_number": "623-850-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16928 W BELL RD STE 701",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748948",
            "telephone_number": "623-850-0026",
            "fax_number": "623-850-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8989 W Alda Way",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853821013",
            "country_code": "US",
            "telephone_number": "360-823-7764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHACHTERLE",
        "first_name": "MATTHEW",
        "middle_name": "BRETT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.