MATTHEW BARNETT CRNP NPI 1346801347
Nurse Practitioner - Family in Atmore, AL

Individual Male Years of Experience 4 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About MATTHEW BARNETT CRNP

Matthew Barnett is a provider established in Atmore, Alabama and his medical specialization is Nurse Practitioner with a focus in family with more than 4 years of experience. He graduated from University Of Alabama School Of Medicine in 2019. The NPI number of Matthew Barnett is 1346801347 and was assigned on June 2019. The practitioner's primary taxonomy code is 363LF0000X with license number 1-128241 (AL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1346801347
Provider Name MATTHEW BARNETT CRNP
Provider Location Address401 MEDICAL PARK DR ATMORE, AL 36502
Provider Mailing Address125 HOBBS CIR ATMORE, AL 36502
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year2019
Is Sole Proprietor?Yes
Enumeration Date06-21-2019
Last Update Date06-19-2020

A nurse practitioner (NP) like Matthew Barnett Crnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Matthew Barnett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Matthew Barnett is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Atmore Community Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.48 for a new patient copayment and $24.83 for an established patient copayment.



Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.1-128241
License StateAL

Business Address

MATTHEW BARNETT CRNP
401 MEDICAL PARK DR
ATMORE, AL
ZIP 36502
Phone: (251) 368-2500

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Mailing Address

MATTHEW BARNETT CRNP
125 HOBBS CIR
ATMORE, AL
ZIP 36502
Phone:


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1951631431
PECOS Enrollment IDI20190926000097
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 36502 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.54 $170.61 $85.95
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $21.48
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.93 $139.08 $99.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $24.83

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Matthew Barnett is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ATMORE COMMUNITY HOSPITAL401 MEDICAL PARK DRIVE
ATMORE, AL 36502
(251) 368-2500Acute Care Hospitals10169

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346801347
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386160238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 6 + 0 + 2 + 3 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1346801347 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174581805STERLING EMERGENCY SERVICES OF ALABAMA, INC
Organization
Emergency Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-2500
1811936552 ROBERT A M REVEL DO
Individual
Emergency Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(904) 805-1300
1588603211 STEVEN RAMSAY MD
Individual
Emergency Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(904) 805-1300
1811937154 MARK C D MITCHELL MD
Individual
Emergency Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(904) 805-1300
1396843207LOWER ALABAMA RADIOLOGY
Organization
Specialist401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 460-0326
1750404331 KENNETH SHANE WHITE PT, WCC
Individual
Physical Therapist401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-6346
1295948487MRS. RYAN DENISE GILLIKIN O.T.
Individual
Occupational Therapist401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-6346
1396909511PULMONARY ASSOCIATES OF MOBILE, PC
Organization
Internal Medicine (Pulmonary Disease)401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 433-3344
1821248238MR. DONALD ROY BEANS CRNA, RN
Individual
Nurse Anesthetist, Certified Registered401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-2500
1982843314ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC.
Organization
Family Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-6384
1013262187AMS ATMORE LLC
Organization
Anesthesiology401 MEDICAL PARK DR
ATMORE, AL 36502
(941) 360-1566
1790724276 JEFFREY SLOAN MD
Individual
Emergency Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(904) 805-1300
1619989365 JOHN P MCGUINNESS MD
Individual
Family Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-6221
1366835357BATFISH EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(469) 401-2386
1124073879ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Organization
General Acute Care Hospital (Rural)401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-6362
1356515449ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Organization
Anesthesiologist Assistant401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-6362
1891247540ALABAMA EM-I MEDICAL SERVICES PC
Organization
Emergency Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(469) 401-2386
1386818268ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Organization
Medicare Defined Swing Bed Unit401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-8500
1629545926 KEITH SCOTT CLASSEN FNP
Individual
Nurse Practitioner (Family)401 MEDICAL PARK DR
ATMORE, AL 36502
(251) 368-2500
1447702188WILLIAMS STATION EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine401 MEDICAL PARK DR
ATMORE, AL 36502
(973) 251-1132

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Matthew Barnett Crnp is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.