Individual provider Active NPI

Matthew J Hodas, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1538601034
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016715 Issued in PA
Practice address
120 E 2ND St FL 2
Erie, PA 16507-1579
Phone
(814) 456-8980
Fax
(814) 451-0443
NPI assigned
Nov 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016715 PA Primary

Addresses

Primary practice location

120 E 2ND St FL 2
Erie, PA 16507-1579

Mailing address

120 E 2ND St FL 2
Erie, PA 16507-1579
Phone (814) 456-8980

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
I20170213001447 PA Practitioner - Nurse Practitioner 9537442868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

333 State St
Ste 103
Erie, PA 16507

3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748

120 E 2nd St
Erie, PA 16507
Phone (814) 453-6751

201 State St
Erie, PA 16550
Phone (814) 877-2137

120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1538601034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071579",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071579",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODAS",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.