Matthew Patrick Berryman, FNP-C
Individual provider Active NPI Nurse Practitioner · Port Townsend, WA
NPI 1730836719 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1730836719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP70155875 (WA)
- Practice address
- 834 Sheridan St
Port Townsend, WA 98368-2443 - Phone
- (360) 385-2200
- Fax
- (360) 379-2283
- NPI assigned
- Mar 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oregon Vascular Specialists LLC
Practice addresses (Care Compare)
1550 NE 27TH St
Suite 100
Bend, OR 97701-7760
Phone (541) 313-8111
Hospital & facility affiliations
- St Charles Medical Center - Bend
- St Charles Medical Center Prineville
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.1 of 100
- Quality
- 65.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20220616001403 | OR | Practitioner - Nurse Practitioner | 9739568049 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202204315NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Health Specialists, PC | Single Specialty | Current |
Accepting new patients |
| Oregon Vascular Specialists LLC | Single Specialty | Current |
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
- https://fhir4.healow.com/fhir/r4/EDIHDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP70155875 | WA | Yes |
| Family Nurse Practitioner |
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
Other providers in Port Townsend, WA
- Jennifer Benedict
- Amber McKinlay Benner
- Krista Renee Bennett
- Lesta A Bentley
- Vitaliy Berezhnoy
- Katherine Biccum
- Rachel Lynn Bickling
- Heather Anne Blackmore
- Trenatty E. Blackwell
- James Clayton Blair III
All providers in Port Townsend, WA · Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.