NPIMap

Individual provider Active NPI

Matthew R Harvey, NP-C

  • Gerontology Nurse Practitioner
  • Logan, UT
National Provider Identifier
1912436478
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
10391008-4405 Issued in UT
Practice address
630 E 1400 N Ste 135
Logan, UT 84341-2549
Phone
(435) 787-8146
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 55473 ID
Gerontology Nurse Practitioner 363LG0600X 10391008-4405 UT Primary

Addresses

Primary practice location

630 E 1400 N Ste 135
Logan, UT 84341-2549

Mailing address

PO Box 912042
Saint George, UT 84791-2042
Phone (435) 215-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816001850 UT Practitioner - Nurse Practitioner 8921370693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

630 E 1400
Suite 135
Logan, UT 84341-2549
Phone (435) 787-8146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.97 of 100Reported as group
Quality
68.31
Promoting interoperability
86
Improvement activities
40
Cost
73.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55473IDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Spine and Pain Care Specialists, LLC CurrentSince Jul 23, 2017 Accepting new patients
Southwest Spine and Pain Care Specialists, LLC CurrentSince Jul 23, 2017 Accepting new patients
Franklin County Medical Center Past Accepting new patients
Franklin County Medical Center Past Accepting new patients
Rocky Mountain Dermatology Inc Past Accepting new patients

Locations

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

25 N 2000 W
Ste 8
Hurricane, UT 84737
Phone (435) 635-0174

630 E 1400 N
Ste 120
Logan, UT 84341
Phone (435) 787-7246

630 E 1400 N
Ste 135
Logan, UT 84341
Phone (435) 787-8146

2051 E Red Hills Pkwy
Ste 7
St George, UT 84770
Phone (435) 703-2930

652 S Medical Center Dr
Ste 110
St George, UT 84790
Phone (435) 215-0230

2891 E Mall Dr
Ste 101
St George, UT 84790
Phone (435) 879-7610

2891 E Mall Dr
Ste 102
St George, UT 84790

935 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4800

Interoperability endpoints

  • Direct secure messaging: matthew.harvey.1@17373.direct.athenahealth.com
  • Direct secure messaging: matthew.harvey@ssapcsl-ut.direct.office.nextgen.com

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.

Hospital & facility affiliations 5

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1912436478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-215-0230",
            "fax_number": "435-986-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 135",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412549",
            "telephone_number": "435-787-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ID",
            "license": "55473",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "10391008-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.