Individual provider Active NPI

Naomi Jean Matthews, M.D.

  • Anesthesiology Physician
  • Grand Island, NE
National Provider Identifier
1376958801
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
30715 Issued in NE
Practice address
3533 Prairieview St
Grand Island, NE 68803-4409
Phone
(402) 489-4186
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 30715 NE Primary

Addresses

Primary practice location

3533 Prairieview St
Grand Island, NE 68803-4409

Mailing address

2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796
Phone (402) 489-4186

Other identifiers 1

IdentifierTypeStateIssuer
7255OtherTEP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801000681 NE Practitioner - Anesthesiology 5496975807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists, PCGroup PAC ID 4385630391, 101 clinicians
Grand Island Regional Medical CenterGroup PAC ID 0143659508, 29 clinicians

Practice addresses (Care Compare)

1600 N 48TH St
Lincoln, NE 68506-1283
Phone (402) 489-0200

3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-5000

Hospital & facility affiliations

  • Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
  • Boone County Health Center Hospital, Albion, NE, CCN 281334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7255NEMDSocial Worker
30715NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists PC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Jul 30, 2018 Accepting new patients
Grand Island Regional Medical Center CurrentSince Jul 25, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients
Unmc Physicians Past Accepting new patients

Locations

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2900 S 70th St
Ste 450
Lincoln, NE 68506
Phone (402) 489-4186

2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1376958801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S 70TH STREET",
            "address_2": "SUITE # 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 PRAIRIEVIEW ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034409",
            "telephone_number": "402-489-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "NAOMI",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "30715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEP",
            "identifier": "7255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.