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MATTHEW J HINES ARNP
NPI 1154840353
Nurse Practitioner - Acute Care in Washington, IA

Active since September 19, 2017PECOS EnrolledAccepts Medicare Assignment
400 EAST POLK STREET, WASHINGTON, IA 52353(319) 653-5481 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Sep 13, 2019, Oct 23, 2018 and 1 more (4 updates tracked since 2017).

About Matthew J Hines Arnp NPPES

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

MATTHEW J HINES ARNP (NPI 1154840353) is an individual acute care provider in Washington, Iowa, licensed in Iowa (H126919) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Washington County Hospital And Clinics, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154840353
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMATTHEW J HINESCredential: ARNP
Location Address400 EAST POLK STREETWashington, IA 52353-1237
Mailing AddressPo Box 909Washington, IA 52353-0909 · (319) 653-5481 · Fax (319) 863-3977
Phone(319) 653-5481
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 19, 2017
Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1154840353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IA · H126919
400 EAST POLK STREET, Washington, IA 52353
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew J Hines Arnp 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 ID7618243874
PECOS Enrollment IDI20171017000593
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services54 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services34 patients

Hospital Affiliations CMS Care Compare

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

Washington County Hospital And Clinics

Critical Access Hospitals · Washington, IA
OwnershipGovernment - Local
CMS Certification Number161344
Location400 East Polk StreetWashington, IA 52353 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52353 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier25 claims25 services$18.35 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier14 claims14 services$868.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers39 claims39 services$96.46 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$34.02 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

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

WASHINGTON COUNTY HOSPITAL
Medicare Defined Swing Bed Unit
400 EAST POLK STREET
WASHINGTON, IA 52353
Washington County (319) 653-5481

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 Hines's NPI number?

The NPI number for Matthew Hines is 1154840353. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Matthew Hines located?

Matthew Hines practices at 400 East Polk Street, Washington, IA 52353. The listed phone number is (319) 653-5481.

What is Matthew Hines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Matthew Hines enrolled in Medicare?

Yes. Matthew Hines 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.

What insurance does Matthew Hines accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Matthew Hines 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 Hines affiliated with any hospitals?

According to CMS data, Matthew Hines is affiliated with Washington County Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Matthew Hines was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.