Matthew James Simpson, PA-C, CTA
Individual provider Active NPI Physician Assistant · Falls City, NE
NPI 1699023069 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1699023069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1668 (NE)
- Practice address
- 3307 Barada St
Falls City, NE 68355-2470 - Phone
- (402) 245-2428
- NPI assigned
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130501000366 | NE | Practitioner - Physician Assistant | 4880831361 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1668 | NE | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1668 | NE | Yes |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
3307 Barada St
Falls City, NE 68355-2470
Mailing address
3307 Barada St
Falls City, NE 68355-2470
Phone (402) 245-2428
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470398819 | Medicaid | NE |
Other providers in Falls City, NE
- Hayden Schawang
- Tammy Lynn Schilling-Montgomery
- Virginia Schmidt
- Shopko Stores Operating Co LLC
- Tanya M Shubert
- Amanda C Sipple
- Jeffrey Dean Smith
- Special Services, Inc.
- Alexis Stallbaumer
- Stanton Lake Healthcare, Inc.
All providers in Falls City, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.