ANDREW KENNETH MATRONE ANP NPI 1265875017

NPI Information

NPI: 1265875017
Provider Name: ANDREW KENNETH MATRONE, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3069 TRENWEST DR
STE. 200
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 993-3146
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Andrew Kenneth Matrone, ANP is an adult health nurse practitioner in Winston Salem, NC with 12 years of experience. Andrew Kenneth Matrone, ANP NPI is 1265875017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3069 TRENWEST DR
STE. 200
WINSTON SALEM, NC
ZIP 27103-211
Phone: (336) 993-3146
Fax: (336) 992-3930

The NPI 1265875017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 4/11/2013 and was last updated on 3/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	5006048	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6003106	MEDICAID	NORTH CAROLINA
2	NCC456A	MEDICARE PIN	NORTH CAROLINA
3	178R6	OTHER	NORTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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