JAMES DANIEL MATTHEWS NP
NPI 1669258711
Nurse Practitioner - Psychiatric/Mental Health in Washington, NC

Q: What is James Matthews's NPI number?

The NPI number for James Matthews is 1669258711. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Q: What is James Matthews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for James Matthews was last updated on February 23, 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.

Active since September 05, 2023PECOS EnrolledAccepts Medicare Assignment

628 E 12TH ST, WASHINGTON, NC 27889(252) 975-4100 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About James Daniel Matthews Np NPPES

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

JAMES DANIEL MATTHEWS NP (NPI 1669258711) is an individual psychiatric/mental health provider in Washington, North Carolina, licensed in North Carolina (5019672) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669258711

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJAMES DANIEL MATTHEWSCredential: NP

Location Address628 E 12TH STWashington, NC 27889-3409

Mailing Address100 Loudon CtGreenville, NC 27834-4544 · (252) 809-3857

Phone(252) 975-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 5, 2023

Last NPPES UpdateFebruary 23, 2024

NPPES CertifiedFebruary 23, 2024

✔ NPI 1669258711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5019672

Also ListedRegistered NurseTaxonomy 163W00000X · License 305408 (NC)

628 E 12TH ST, Washington, NC 27889

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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

James Daniel Matthews Np 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 ID4385083377

PECOS Enrollment IDI20240424000891

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27889 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

MR. ROBERT L POSTON

Nurse Anesthetist, Certified Registered

628 E 12TH ST
WASHINGTON, NC 27889

Beaufort County (252) 975-4100

LISA A ULMER

Nurse Anesthetist, Certified Registered

628 E 12TH ST
WASHINGTON, NC 27889

Beaufort County (252) 975-4100

JESSICA RISPOLI

Nurse Practitioner (Family)

628 E 12TH ST
WASHINGTON, NC 27889

Beaufort County (252) 975-4100

EVAN JONES REY DO

Surgery

628 E 12TH ST
WASHINGTON, NC 27889

Beaufort County (252) 975-4100

ALBERT FOSTER HUNT PA-C

Physician Assistant

628 E 12TH ST
WASHINGTON, NC 27889

Beaufort County (252) 975-4319

BEAUFORT COUNTY HOSPITAL ASSOCIATION INC

Home Health

628 E 12TH ST
WASHINGTON, NC 27889

Beaufort County (252) 975-4204

BEAUFORT COUNTY EMERGENCY PHYSICIANS PLLC

Emergency Medicine

628 E 12TH ST, EMERGENCY DEPARTMENT
WASHINGTON, NC 27889

Beaufort County (877) 693-5700

DR. AMY MICHELLE MODLIN DO

Family Medicine

628 E 12TH ST
WASHINGTON, NC 27889

Beaufort County (252) 975-4100

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 James Matthews's NPI number?

The NPI number for James Matthews is 1669258711. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is James Matthews located?

James Matthews practices at 628 E 12th St, Washington, NC 27889. The listed phone number is (252) 975-4100.

What is James Matthews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is James Matthews enrolled in Medicare?

Yes. James Matthews 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 James Matthews accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list James Matthews 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.

When was this NPI record last updated?

The NPPES record for James Matthews was last updated on February 23, 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.