Individual provider Active NPI

Matthew Gary Pearson, FNP-BC

  • Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1689185795
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2286208 Issued in MA
Practice address
140 Samoset St Ste 2
Plymouth, MA 02360-4802
Phone
(508) 209-5362
NPI assigned
Oct 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP211130 ME
Nurse Practitioner 363L00000X 084408-23 NH
Nurse Practitioner 363L00000X RN2286208 MA Primary

Addresses

Primary practice location

140 Samoset St Ste 2
Plymouth, MA 02360-4802

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other practice location 1

18 Belmont Ave
Belfast, ME 04915
Phone (207) 607-5270

Other practice location 2

2 Dobson Way
Merrimack, NH 03054-4340
Phone (603) 471-6069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, NH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171122002395 MA Practitioner - Nurse Practitioner 3274890454 Reassigns benefits to 2 organizations
I20211118001587 ME Practitioner - Nurse Practitioner 3274890454 Reassigns benefits to 1 organization
I20220104000294 NH Practitioner - Nurse Practitioner 3274890454 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2286208MAMDNurse Practitioner
CNP211130MEMDNurse Practitioner
084408-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC Current Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Patriot Urgent Care Professionals, PC CurrentSince May 15, 2019 Accepting new patients
Patriot Urgent Care Professionals, PC Current Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince May 15, 2019 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 7, 2023 Accepting new patients
Convenientmd LLC Past Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients
Convenientmd LLC Past Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

245 Hartford Ave
Ste 1
Bellingham, MA 02019
Phone (774) 295-4355

90 Middlesex Tpke
Unit 5
Burlington, MA 01803
Phone (781) 894-6900

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

380R Merrimack St
Methuen, MA 01844
Phone (978) 688-1176

35 Storey Ave
Newburyport, MA 01950
Phone (978) 225-6607

140 Samoset St
#2
Plymouth, MA 02360
Phone (508) 209-5362

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

18 Belmont Ave
Belfast, ME 04915
Phone (207) 607-5270

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

235 High St
Ellsworth, ME 04605
Phone (207) 412-5200

191 Marginal Way
Portland, ME 04101
Phone (207) 517-3838

950 Main St
Westbrook, ME 04092
Phone (207) 517-3800

3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700

2 Dobson Way
Merrimack, NH 03054
Phone (603) 471-6069

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

111 New Hampshire Ave
Portsmouth, NH 03801

125 Indian Rock Rd
Windham, NH 03087
Phone (603) 890-6330

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1689185795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAMOSET ST STE 2",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604802",
            "telephone_number": "508-209-5362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "04915",
            "country_code": "US",
            "telephone_number": "207-607-5270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Dobson Way",
            "address_purpose": "LOCATION",
            "city": "Merrimack",
            "state": "NH",
            "postal_code": "030544340",
            "country_code": "US",
            "telephone_number": "603-471-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MATTHEW",
        "middle_name": "GARY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-12-21",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP211130",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "084408-23",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2286208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.