Individual provider Active NPI

Matthew Parkinson, MSN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1417829847
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
105177 Issued in WV
Practice address
2010 Doctor Oates Dr Ste 105
Martinsburg, WV 25401-8896
Phone
(304) 596-5780
Fax
(304) 596-5781
NPI assigned
Sep 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 105177 WV Primary

Addresses

Primary practice location

2010 Doctor Oates Dr Ste 105
Martinsburg, WV 25401-8896

Mailing address

2010 Doctor Oates Dr Ste 105
Martinsburg, WV 25401-8896
Phone (304) 596-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20251202002514 WV Practitioner - Nurse Practitioner 0244723906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

2010 Doctor Oates Dr
Suite 105
Martinsburg, WV 25401-8896
Phone (304) 596-5780

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105177WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Nov 10, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 10, 2025 Accepting new patients

Locations

2010 Doctor Oates Dr
Ste 105
Martinsburg, WV 25401
Phone (304) 264-4433

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

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 1

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": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1417829847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 DOCTOR OATES DR STE 105",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018896",
            "telephone_number": "304-596-5780",
            "fax_number": "304-596-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 DOCTOR OATES DR STE 105",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018896",
            "telephone_number": "304-596-5780",
            "fax_number": "304-596-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MSN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "105177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.