Individual provider Active NPI

Matthew Lane Alexander

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1427715424
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R251696 Issued in MD
Practice address
5100 Buckeystown Pike Ste 186
Frederick, MD 21704-8337
Phone
(301) 682-8888
NPI assigned
Nov 24, 2021
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 R251696 MD Primary

Addresses

Primary practice location

5100 Buckeystown Pike Ste 186
Frederick, MD 21704-8337

Mailing address

5100 Buckeystown Pike Ste 186
Frederick, MD 21704-8337
Phone (301) 682-8888

Other practice location 1

8000 York Rd
Towson, MD 21252-0001
Phone (410) 704-2466 ext. 50344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220228001943 MD Practitioner - Nurse Practitioner 9436543873 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
P. Pham and J. Briggs LLC CurrentSince Feb 15, 2022 Accepting new patients
PNJ Primary Care LLC CurrentSince Feb 15, 2022 Accepting new patients
O & O Alpan, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5100 Buckeystown Pike
Ste 186
Frederick, MD 21704
Phone (301) 662-5680

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.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1427715424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 186",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048337",
            "telephone_number": "301-682-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 186",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048337",
            "telephone_number": "301-682-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 York Rd",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212520001",
            "country_code": "US",
            "telephone_number": "410-704-2466 x50344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MATTHEW",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2022-03-31",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R251696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.