MD Matt LLC
NPI 1619583200ActiveOrganization· Nurse Practitioner, Adult Health· Frederick, MD
Nurse Practitioner, Adult Health in Frederick, Maryland, registered in NPPES in September 2020. The authorized official on file is William Shaffer, Owner.
Overview
| NPI | 1619583200 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2020 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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