Nurse Practitioner - Acute Care in Westerly, RI


Matthew Willard is a provider established in Westerly, Rhode Island and his medical specialization is Nurse Practitioner with a focus in acute care with more than 6 years of experience. The NPI number of this provider is 1821577594 and was assigned on August 2018. The practitioner's primary taxonomy code is 363LA2100X with license number APRN01876 (RI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

Location Address45 WELLS ST STE 204 WESTERLY, RI 02891
Location Phone(401) 637-7929
Mailing AddressPO BOX 1119 PROVIDENCE, RI 02901
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2018
Is Sole Proprietor?No
Enumeration Date08-13-2018
Last Update Date01-06-2020

A nurse practitioner (NP) like Matthew Willard 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 Willard 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 Willard 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 Westerly Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.47 for a new patient copayment and $27.07 for an established patient copayment.

Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363LA2100X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAcute Care
License No.APRN01876
License StateRI

Business Address

ZIP 02891
Phone: (401) 637-7929

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Mailing Address

PO BOX 1119
ZIP 02901

Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7315290012
PECOS Enrollment IDI20181026000577
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 or refer Durable Medical Equipment (DMEPOS)Yes
Eligible order r refer Home Health Agency (HHA)Yes
Eligible order r 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 02891 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
$61.15 $184.88 $93.88
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.28 $46.22 $23.47
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
$19.15 $151.08 $108.28
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.78 $37.77 $27.07

* 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.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 91Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • 21X-ray of knee, 3 views (HCPCS:73562)
  • 17Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 12Repair of knee joint (HCPCS:27447)

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 Willard is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
(401) 596-6000Acute Care Hospitals410013

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.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 1 + 0 + 7 + 1 + 4 + 5 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1821577594 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
Orthopaedic Surgery45 WELLS ST STE 204
(401) 637-7929
Orthopaedic Surgery45 WELLS ST STE 204
(401) 637-7929

Frequently Asked Questions

What is Matthew Willard APRN NPI number?

The NPI number assigned to this healthcare provider is 1821577594, registered as an "individual" on August 13, 2018

Where is the provider located?

The provider is located at 45 Wells St Ste 204 Westerly, Ri 02891 and the phone number is (401) 637-7929

What is the provider specialty code?

The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care

How many years of experience does Matthew Willard APRN have?

The provider has more than 6 years of experience.

Is Matthew Willard APRN registered in PECOS?

Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Matthew Willard APRN?

Medicare beneficiaries should expect a typical cost of $93.88 with an average copayment of $23.47 for new patient appointments. Established patients should expect a typical charge of $108.28 and an average copayment of 27.07. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Matthew Willard APRN?

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance, X-ray of knee, 3 views, Aspiration and/or injection of large joint or joint capsule and Repair of knee joint.

Is Matthew Willard APRN affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: WESTERLY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on August 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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