Individual provider Active NPI

Matthew D. Livengood, CRNP

  • Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1386603181
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP007166 Issued in PA
Practice address
2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone
(717) 544-3113
Fax
(717) 544-3111
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 SP007166 PA Primary

Addresses

Primary practice location

2102 Harrisburg Pike
Lancaster, PA 17601-2644

Mailing address

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3113

Other identifiers 1

IdentifierTypeStateIssuer
1776266701MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110112000730 PA Practitioner - Nurse Practitioner 7618166265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Radiology Associates LTDGroup PAC ID 0648267526, 53 clinicians

Practice addresses (Care Compare)

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4900

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Radiology Associates, LTD. CurrentSince Jan 7, 2002 Accepting new patients

Locations

2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

Organizations & group practices 2

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 3

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1386603181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3113",
            "fax_number": "717-544-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3113",
            "fax_number": "717-544-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1776266701",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.