Matthew Ryan Johnson, ARNP, RN
Individual provider Active NPI Family Nurse Practitioner · Republic, WA
NPI 1922735901 · NPPES record last updated Sep 4, 2022
Key facts
- NPI
- 1922735901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP61351549 (WA)
- Practice address
- 10 Ros Cir
Republic, WA 99166-5002 - Phone
- (509) 775-3153
- Fax
- (509) 775-8929
- NPI assigned
- Aug 1, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ferry County Public Hospital District No 1
Practice addresses (Care Compare)
10 Ros Cir
Republic, WA 99166-5002
Phone (509) 775-3245
Hospital & facility affiliations
- Ferry County Memorial Hospital
- Providence Mount Carmel Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 29.6 of 100
- Quality
- 32.46
- Improvement activities
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20230321001177 | WA | Practitioner - Nurse Practitioner | 2365816089 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferry County Public Hospital District No 1 | Current |
Accepting new patients | |
| Ferry County Public Hospital District No 1 | Current |
Accepting new patients | |
| Ferry County Public Hospital District No 1 | Current |
Accepting new patients |
Locations
10 Ros Cir
Republic, WA 99166
Phone (509) 775-3153
36 Klondike Rd
Republic, WA 99166
Phone (509) 775-3153
Interoperability endpoints
- mathew.johnson@ferrycohealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60972676 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61351549 | WA | Yes |
Addresses
Primary practice location
10 Ros Cir
Republic, WA 99166-5002
Mailing address
53A Petes Retreat Rd
Republic, WA 99166-9541
Phone (425) 268-3587
Other providers in Republic, WA
- Christy Ann Harvey
- Lindsay R Henderson
- Julia Hershberger
- Mari S Hunter
- Joshua Lee Hurst
- Joyful Therapy LLC
- Janelle Kay Klein
- Hannah Konen
- David James Kopp
- Kelsey Krueger
All providers in Republic, WA · Family 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 4, 2022. 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.