MD Matt LLC
NPI 1710721493ActiveOrganization· Nurse Practitioner, Family· Hagerstown, MD
Nurse Practitioner, Family in Hagerstown, Maryland, registered in NPPES in June 2024, part of MD Matt LLC. The authorized official on file is William Shaffer, Owner.
Overview
| NPI | 1710721493 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | MD Matt LLC |
| NPI issued | Jun 19, 2024 |
| Last updated in NPPES | Jun 19, 2024 |
| Certified by provider | Jun 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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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