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MATTHEW BAILEY ACNP, FNP, ENP
NPI 1043862642
Nurse Practitioner - Family in Salem, VA

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
1900 ELECTRIC RD, SALEM, VA 24153(540) 776-4000 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew Bailey Acnp, Fnp, Enp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW BAILEY ACNP, FNP, ENP (NPI 1043862642) is an individual family provider in Salem, Virginia, licensed in Virginia (0024177727) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Sovah Health Danville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043862642
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW BAILEYCredential: ACNP, FNP, ENP
Location Address1900 ELECTRIC RDSalem, VA 24153-7474
Mailing Address843 Pine StDanville, VA 24541-1925
Phone(540) 776-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 12, 2019
✔ NPI 1043862642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024177727
1900 ELECTRIC RD, Salem, VA 24153
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Bailey Acnp, Fnp, Enp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890128011
PECOS Enrollment IDI20191202002216
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Bailey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Spring Emergency Group, LLC
Same address
Emergency Medicine
1900 ELECTRIC RD
Salem, VA 24153
  • Reassigned Medicare billing, Virginia enrollment
  • 130 clinicians in this Medicare group
NPI 1215429600 (540) 776-4000
Emergency Coverage, LLC
197 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Emergency Coverage Services, PC
430 mi
Nurse Practitioner
1607 S LOCUST AVE
Lawrenceburg, TN 38464
  • Reassigned Medicare billing, Virginia enrollment
  • 85 clinicians in this Medicare group
NPI 1053351593 (931) 762-6571

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
108 services106 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
56 services54 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sovah Health Danville

Acute Care Hospitals · Danville, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490075
Location142 South Main StreetDanville, VA 24541 · Danville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers16 claims16 services$9.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISTA RADIOLOGY CONSULTANTS, LLC
Radiology (Vascular & Interventional Radiology)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 815-7842
JENNA LYNN POLLOCK
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
ACUTE SURGICAL CARE SPECIALISTS OF VIRGINIA, LLC
Surgery (Trauma Surgery)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
MARK D HAMILTON M.D.
Anesthesiology
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT
SALEM, VA 24153
Salem City (540) 776-4000
MITCHELL SIMPSON CROWE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
SHEHRYAR KHANZADA DO
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 444-4817
DISHABEN BHARATKUMAR PATEL
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 761-8027
KRISTIN MIRENDA CRNA
Nurse Anesthetist, Certified Registered
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 493-4581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Bailey's NPI number?

The NPI number for Matthew Bailey is 1043862642. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Matthew Bailey located?

Matthew Bailey practices at 1900 Electric Rd, Salem, VA 24153. The listed phone number is (540) 776-4000.

What is Matthew Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Bailey enrolled in Medicare?

Yes. Matthew Bailey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Bailey reassigns Medicare benefits to 3 organizations: Lake Spring Emergency Group, LLC (Salem, VA), Emergency Coverage, LLC (Newport, TN) and Emergency Coverage Services, PC (Lawrenceburg, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Bailey accept?

Health plans from Oscar Insurance Company list Matthew Bailey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Bailey affiliated with any hospitals?

According to CMS data, Matthew Bailey is affiliated with Sovah Health Danville.

When was this NPI record last updated?

The NPPES record for Matthew Bailey was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.