Active NPI
Matthew Anderson, CRNA
- Certified Registered Nurse Anesthetist
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 124997
- Practice address
- 1 Medical Center Dr
Morgantown, WV 26506-1200 - Phone
- (304) 312-5586
- NPI assigned
- Dec 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Flight Registered Nurse | 163WF0300X | 78163 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | 124997 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Morgantown, WV 26506-1200
Mailing address
50 Hidden View LN
Moundsville, WV 26041-1378
Phone (304) 312-5586
Other names 1
- Matthew Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000
Hospital & facility affiliations
- Wheeling Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78163 | WV | MD | Flight Registered Nurse |
| 124997 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Wheeling Hospital Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Health and Education Building-Urgent Care | Current | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Urgent Care Clinic/Center
- Morgantown, WV
- NPI 1942612197
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1891266524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HIDDEN VIEW LN",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "260411378",
"telephone_number": "304-312-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200",
"telephone_number": "304-312-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-06",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "WV",
"license": "78163",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "124997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "ANDERSON",
"credential": "CRNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.