Individual provider Active NPI

Matthew Patrick Berryman, FNP-C

  • Nurse Practitioner
  • Port Townsend, WA
National Provider Identifier
1730836719
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP70155875 Issued in WA
Practice address
834 Sheridan St
Port Townsend, WA 98368-2443
Phone
(360) 385-2200
Fax
(360) 379-2283
NPI assigned
Mar 9, 2022
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 AP70155875 WA Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 202204315NP-PP OR

Addresses

Primary practice location

834 Sheridan St
Port Townsend, WA 98368-2443

Mailing address

1550 NE 27TH St Ste 100
Bend, OR 97701-7760
Phone (541) 313-8111

Other practice location 1

1550 NE 27th St Ste 100
Bend, OR 97701-7760
Phone (541) 313-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220616001403 OR Practitioner - Nurse Practitioner 9739568049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Vascular Specialists LLCGroup PAC ID 8022386663, 11 clinicians

Practice addresses (Care Compare)

1550 NE 27TH St
Suite 100
Bend, OR 97701-7760
Phone (541) 313-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.1 of 100Reported as group
Quality
65.33
Promoting interoperability
100
Improvement activities
40
Cost
75.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP70155875WAMDNurse Practitioner
202204315NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Health Specialists, PC Single Specialty CurrentSince May 2, 2022 Accepting new patients
Oregon Vascular Specialists LLC Single Specialty CurrentSince May 2, 2022 Accepting new patients

Locations

1550 NE 27th St
Ste 100
Bend, OR 97701
Phone (541) 313-8111

3818 SW 21st St
Ste 201
Redmond, OR 97756
Phone (541) 313-8111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIHDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1730836719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NE 27TH ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017760",
            "telephone_number": "541-313-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 SHERIDAN ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682443",
            "telephone_number": "360-385-2200",
            "fax_number": "360-379-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 NE 27th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017760",
            "country_code": "US",
            "telephone_number": "541-313-8111",
            "fax_number": "541-313-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRYMAN",
        "first_name": "MATTHEW",
        "middle_name": "PATRICK",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP70155875",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202204315NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

Verify at the official NPI Registry.