Individual provider Active NPI

Matthew Smith, CRNP

  • Primary Care Nurse Practitioner
  • Springfield, PA
National Provider Identifier
1427530591
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP019154 Issued in PA
Practice address
196 W Sproul Rd Ste 205
Springfield, PA 19064-2045
Phone
(610) 338-1820
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP019154 PA Primary

Addresses

Primary practice location

196 W Sproul Rd Ste 205
Springfield, PA 19064-2045

Mailing address

196 W Sproul Rd Ste 205
Springfield, PA 19064-2045
Phone (610) 338-1820

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
I20190314001685 PA Practitioner - Nurse Practitioner 5496095259 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 22, 2019 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 22, 2019 Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1350 Edgmont Ave
Ste 1500
Chester, PA 19013
Phone (610) 619-8290

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

196 W Sproul Rd
Ste 205
Springfield, PA 19064
Phone (610) 338-1820

Organizations & group practices 3

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1427530591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 W SPROUL RD STE 205",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642045",
            "telephone_number": "610-338-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 W SPROUL RD STE 205",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642045",
            "telephone_number": "610-338-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP019154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.