Individual provider Active NPI

Hollie L Matthews, MD

  • Family Medicine Physician
  • Moses Lake, WA
National Provider Identifier
1386856169
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00048127 Issued in WA
Practice address
124 E 3Rd Ave Ste 212
Moses Lake, WA 98837-5935
Phone
(509) 793-5046
Fax
(877) 735-2285
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00048127 WA Primary

Addresses

Primary practice location

124 E 3Rd Ave Ste 212
Moses Lake, WA 98837-5935

Mailing address

124 E 3Rd Ave Ste 212
Moses Lake, WA 98837-5935
Phone (509) 793-5046

Other identifiers 1

IdentifierTypeStateIssuer
1386856169MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080721000242 WA Practitioner - Family Practice 9830262153 Reassigns benefits to 1 organization
Practice locations: Moses Lake, WA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Co Public Hospital District 3 CurrentSince Nov 1, 2020 Accepting new patients

Locations

220 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1386856169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E 3RD AVE STE 212",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375935",
            "telephone_number": "509-793-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 3RD AVE STE 212",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375935",
            "telephone_number": "509-793-5046",
            "fax_number": "877-735-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "HOLLIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00048127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386856169",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.