Individual provider Active NPI

Matthew Richard James, FNP-BC

  • Family Nurse Practitioner
  • Providence, RI
National Provider Identifier
1538548383
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN00688 Issued in RI
Practice address
799 Hope St
Providence, RI 02906-3635
Phone
(401) 331-5240
Fax
(401) 272-9732
NPI assigned
May 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 APRN00688 RI Primary

Addresses

Primary practice location

799 Hope St
Providence, RI 02906-3635

Mailing address

799 Hope St
Providence, RI 02906-3635
Phone (800) 389-2727

Other practice location 1

111 Brewster St
Pawtucket, RI 02860-4474
Phone (401) 729-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20150817000713 RI Practitioner - Nurse Practitioner 9436464757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Rhode Island LLCGroup PAC ID 8224350863, 25 clinicians

Practice addresses (Care Compare)

799 Hope St
Providence, RI 02906-3635
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Rhode Island, LLC Family CurrentSince Jul 1, 2015 Accepting new patients

Locations

799 Hope St
Providence, RI 02906
Phone (401) 316-4919

1054 Cass Ave
Woonsocket, RI 02895
Phone (401) 767-3600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538548383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063635",
            "telephone_number": "800-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063635",
            "telephone_number": "401-331-5240",
            "fax_number": "401-272-9732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Brewster St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604474",
            "country_code": "US",
            "telephone_number": "401-729-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MATTHEW",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.