Active NPI
Matthew Ray Scoggin, APRN, FNP-C
- Nurse Practitioner
- La Belle, MO
National Provider Identifier
1831934322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2024024790
- Practice address
- 1000 Central St
La Belle, MO 63447-2092 - Phone
- (660) 213-0324
- Fax
- (660) 243-0882
- NPI assigned
- Jun 27, 2024
- Last updated
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2024024790 | MO | Primary |
Addresses
Primary practice location
1000 Central St
La Belle, MO 63447-2092
Mailing address
1000 Central St
La Belle, MO 63447-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 17, 2026 through Jun 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024024790 | MO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1831934322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CENTRAL ST",
"city": "LA BELLE",
"state": "MO",
"postal_code": "634472092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CENTRAL ST",
"city": "LA BELLE",
"state": "MO",
"postal_code": "634472092",
"telephone_number": "660-213-0324",
"fax_number": "660-243-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOGGIN",
"first_name": "MATTHEW",
"middle_name": "RAY",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-27",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2024024790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Belle, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.