Individual provider Active NPI

Matthew David Zeuschner, AGACNP

  • Acute Care Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1629684576
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ZEUS-XBPE6 Issued in NC
Practice address
107 Woodwind Court
Myrtle Beach, SC 29572
Phone
(843) 945-1151
NPI assigned
Sep 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ZEUS-XBPE6 NC Primary

Addresses

Primary practice location

107 Woodwind Court
Myrtle Beach, SC 29572

Mailing address

414 Lightwood LN
Shallotte, NC 28470-5259
Phone (614) 588-9526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210203002283 SC Practitioner - Nurse Practitioner 3577977487 Reassigns benefits to 2 organizations
I20211014002973 NC Practitioner - Nurse Practitioner 3577977487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadway Medical Innovation LLCGroup PAC ID 4981091923, 3 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

Myrtle Beach, SC 29579
Phone (843) 655-0004

690 Sunset Blvd N
Suite 208
Sunset Beach, NC 28468-5332
Phone (843) 366-3755

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ZEUS-XBPE6NCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Sep 28, 2022 Accepting new patients
Broadway Medical Innovation, LLC CurrentSince Jun 1, 2022 Accepting new patients
Robeson Hospitalist Group PLLC CurrentSince Sep 17, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 28, 2022 Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

690 Sunset Blvd N
Ste 208
Sunset Beach, NC 28468
Phone (910) 575-8488

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

100 Water Grande Blvd
Little River, SC 29566
Phone (843) 366-4000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

4016 River Oaks Dr
Ste 6
Myrtle Beach, SC 29579
Phone (843) 655-0004

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: mzeuschner19349@directmcleodehealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1629684576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 LIGHTWOOD LN",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284705259",
            "telephone_number": "614-588-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODWIND COURT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-945-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEUSCHNER",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "ZEUS-XBPE6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.