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MATT HAVENS MSW LCSW, MS PA-C
NPI 1992912216
Physician Assistant - Medical in Bolivar, MO

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
1300 N OAKLAND AVE, SUITE A, BOLIVAR, MO 65613(417) 326-7676(417) 326-3939 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matt Havens Msw Lcsw, Ms Pa-c NPPES

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

MATT HAVENS MSW LCSW, MS PA-C (NPI 1992912216) is an individual medical provider in Bolivar, Missouri and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992912216
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMATT HAVENSCredential: MSW LCSW, MS PA-C
Location Address1300 N OAKLAND AVE, SUITE ABolivar, MO 65613-3018
Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6501 · Fax (417) 328-6338
Phone(417) 326-7676
Fax(417) 326-3939
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 27, 2017
✔ NPI 1992912216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2005029085 (MO)
1300 N OAKLAND AVE, Bolivar, MO 65613
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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

Matt Havens Msw Lcsw, Ms Pa-c 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 ID2365540549
PECOS Enrollment IDI20170327000198
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.

Hospital Affiliations CMS Care Compare

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$40.79 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers12 claims12 services$22.73 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims56 services$2.38 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$3.55 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers38 claims38 services$47.68 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
1 supplier44 claims44 services$101.95 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 12

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

DR. DONALD R. JUMP DDS INC PC
Dentist (General Practice)
1300 N OAKLAND AVE, STE C
BOLIVAR, MO 65613
Polk County (417) 326-2244
KAYLEE JAYNELLE ANKROM
Nurse Practitioner (Family)
1300 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-7676
KIM S DAVISON DDS
Dentist (General Practice)
1300 N OAKLAND AVE, STE C
BOLIVAR, MO 65613
Polk County (417) 326-2244
DONALD R JUMP DDS
Dentist (General Practice)
1300 N OAKLAND AVE, STE C
BOLIVAR, MO 65613
Polk County (417) 326-2244
RACHEL GRAINGER LCSW
Social Worker (Clinical)
1300 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-7676
MR. STEVEN T. MARSHALL D.D.S
Dentist (General Practice)
1300 N OAKLAND AVE, SUITE B
BOLIVAR, MO 65613
Polk County (417) 326-6061
STEPHEN N FINZO JR. PSYD
Psychologist
1300 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-7676
PARKVIEW SURGEONS, PC
Surgery
1300 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-2100

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 Matt Havens's NPI number?

The NPI number for Matt Havens is 1992912216. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Matt Havens located?

Matt Havens practices at 1300 N Oakland Ave Suite A, Bolivar, MO 65613. The listed phone number is (417) 326-7676.

What is Matt Havens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Matt Havens enrolled in Medicare?

Yes. Matt Havens 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 Matt Havens accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Matt Havens 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 Matt Havens affiliated with any hospitals?

According to CMS data, Matt Havens is affiliated with Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matt Havens was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.