Individual provider Active NPI

Matthew Madison Smith, APRN CNP

  • Family Nurse Practitioner
  • Oberlin, OH
National Provider Identifier
1659952570
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028715 Issued in OH
Practice address
224 W Lorain St Ste 100
Oberlin, OH 44074-1087
Phone
(440) 775-1881
Fax
(440) 744-5707
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0028715 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0028715 OH Primary

Addresses

Primary practice location

224 W Lorain St Ste 100
Oberlin, OH 44074-1087

Mailing address

224 W Lorain St Ste 100
Oberlin, OH 44074-1087
Phone (440) 775-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210615002812 OH Practitioner - Nurse Practitioner 9537569371 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Emergency Physicians LLCGroup PAC ID 9739554379, 13 clinicians

Practice addresses (Care Compare)

200 W Lorain St
Oberlin, OH 44074-1026
Phone (440) 775-1211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028715OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Emergency Physicians, LLC CurrentSince Jun 1, 2024 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Jul 5, 2021 Accepting new patients
Lorain Emergency Physicians, LLC CurrentSince Jun 1, 2024 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Jul 5, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lorain, LLC Nurse Practitioner CurrentSince Jul 5, 2021 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Jul 5, 2021 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1813 Nagel Rd
Ste 500
Avon, OH 44011
Phone (440) 324-0400

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

224 W Lorain St
Ste 100
Oberlin, OH 44074
Phone (440) 222-4970

1607 State Route 60
Ste 6
Vermilion, OH 44089
Phone (440) 934-8344

1607 State Rd
Vermilion, OH 44089
Phone (440) 967-8713

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Interoperability endpoints

  • Direct secure messaging: msmith161923@direct.bsmhealth.org

Organizations & group practices 9

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1659952570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W LORAIN ST STE 100",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741087",
            "telephone_number": "440-775-1881",
            "fax_number": "440-744-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W LORAIN ST STE 100",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741087",
            "telephone_number": "440-775-1881",
            "fax_number": "440-744-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "MADISON",
        "credential": "APRN CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0028715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oberlin, OH

Sources for this page

Verify at the official NPI Registry.