Individual provider Active NPI

Matthew Taylor, NP

  • Family Nurse Practitioner
  • Seaford, DE
National Provider Identifier
1942856299
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001300 Issued in DE
Practice address
401 Concord Rd
Seaford, DE 19973-4274
Phone
(302) 629-6664
NPI assigned
Aug 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0001300 DE Primary

Addresses

Primary practice location

401 Concord Rd
Seaford, DE 19973-4274

Mailing address

401 Concord Rd
Seaford, DE 19973-4274
Phone (302) 629-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200316001232 DE Practitioner - Nurse Practitioner 6103254669 Reassigns benefits to 3 organizations
I20210422000328 MD Practitioner - Nurse Practitioner 6103254669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

18941 John J Williams Hwy
Rehoboth Beach, DE 19971-4404
Phone (302) 703-3595

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0001300DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Service Associates PA CurrentSince Jul 1, 2021 Accepting new patients
Beebe Physician Network Inc. Family CurrentSince May 4, 2022 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Jan 12, 2021 Accepting new patients
Atlantic General Hospital Corporation Current Accepting new patients
Sussex Medical Center, Inc CurrentSince Feb 20, 2020 Accepting new patients
Atlantic General Hospital Corp CurrentSince Jan 12, 2021 Accepting new patients

Locations

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

18941 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 644-6992

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

401 Concord Rd
Seaford, DE 19973
Phone (302) 629-6664

9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15303/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mtaylor19547@beebehealth.direct-ci.com

Organizations & group practices 6

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1942856299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CONCORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199734274",
            "telephone_number": "302-629-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CONCORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199734274",
            "telephone_number": "302-629-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MATTHEW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.