Individual provider Active NPI

Matthew Blake Seagle, FNP-BC

  • Family Nurse Practitioner
  • Lincolnton, NC
National Provider Identifier
1407402399
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012133 Issued in NC
Practice address
1470 E Gaston St
Lincolnton, NC 28092-4431
Phone
(704) 735-7474
NPI assigned
Aug 15, 2019
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012133 NC Primary

Addresses

Primary practice location

1470 E Gaston St
Lincolnton, NC 28092-4431

Mailing address

7811 Bailey Rd
Connelly Springs, NC 28612-7821
Phone (828) 962-5849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191213000431 NC Practitioner - Nurse Practitioner 3577996081 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
Telehealth
Offers telehealth services
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

5045 Hickory Blvd
Hickory, NC 28601-8920
Phone (828) 732-5780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5012133NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group, Inc CurrentSince Dec 2, 2019 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Dec 2, 2019 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Catawba Valley Medical Group Inc Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

5045 Hickory Blvd
Hickory, NC 28601
Phone (828) 212-1020

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: matthew.seagle@cvmg.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1407402399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 BAILEY RD",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286127821",
            "telephone_number": "828-962-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E GASTON ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924431",
            "telephone_number": "704-735-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGLE",
        "first_name": "MATTHEW",
        "middle_name": "BLAKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.