Individual provider Active NPI

Matthew John Hogge, NP-PP, RN

  • Nurse Practitioner
  • Medford, OR
National Provider Identifier
1912203183
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201504135NP-PP Issued in OR
Practice address
730 Biddle Rd
Medford, OR 97504-6116
Phone
(541) 535-6239
Fax
(541) 512-1026
NPI assigned
Feb 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 201504135NP-PP OR Primary
Registered Nurse 163W00000X 201140139RN OR

Addresses

Primary practice location

730 Biddle Rd
Medford, OR 97504-6116

Mailing address

931 Chevy Way
Medford, OR 97504-4127
Phone (541) 535-6239

Other practice location 1

616 Market St
Medford, OR 97504-6126
Phone (541) 618-1300

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
I20150730014137 OR Practitioner - Nurse Practitioner 4688988926 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201140139RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Integrative Care, LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

3156 State St
Medford, OR 97504
Phone (541) 773-9772

Interoperability endpoints

  • Direct secure messaging: matthew.hogge.1@12515.direct.athenahealth.com
  • Direct secure messaging: mhogge118640@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1912203183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHEVY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044127",
            "telephone_number": "541-535-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BIDDLE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046116",
            "telephone_number": "541-535-6239",
            "fax_number": "541-512-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Market St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046126",
            "country_code": "US",
            "telephone_number": "541-618-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGGE",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "NP-PP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201504135NP-PP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201140139RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.