Active NPI
Matthew Hubbard
- Medical Physician Assistant
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA0008719
- Practice address
- 1010 A St
Greeley, CO 80631-2021 - Phone
- (970) 313-0400
- NPI assigned
- Jul 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA0008719 | CO | Primary |
Addresses
Primary practice location
1010 A St
Greeley, CO 80631-2021
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 391-7887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N 11TH Ave
Greeley, CO 80631-2011
Phone (970) 352-8898
1010 A St
Greeley, CO 80631-2021
Phone (970) 313-0400
302 3Rd St SE
Suite 150
Loveland, CO 80537-6419
Phone (970) 669-4855
Hospital & facility affiliations
- Banner North Colorado Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0008719 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Community Health | Current | Accepting new patients | |
| Sunrise Community Health | Past | Accepting new patients |
Locations
2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606
1010 A St
Greeley, CO 80631
Phone (970) 313-0400
302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855
Interoperability endpoints
- matthew.hubbard.1@27043.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Loveland, CO
- NPI 1902005382
-
- Federally Qualified Health Center (FQHC)
- Greeley, CO
- NPI 1205236072
-
- Federally Qualified Health Center (FQHC)
- Evans, CO
- NPI 1295732048
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1174231682
-
- Critical Access Hospital
- Greeley, CO
- NPI 1255971404
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1477376986
-
- Special Hospital
- Loveland, CO
- NPI 1487535431
-
- Critical Access Hospital
- Greeley, CO
- NPI 1578103750
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1720004450
-
- Critical Access Hospital
- Greeley, CO
- NPI 1831739267
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1962103622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1457085995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-391-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 A ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806312021",
"telephone_number": "970-313-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-11",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA0008719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.