TRACEE L MATINCHECK (NPI# 1568812568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568812568 |
| Entity Type | Individual |
| Full Name | TRACEE L MATINCHECK |
| Other Name | TRACEE L WILLARD |
| Credential | CRNP |
| Practice Address |
1025 W Harrisburg Pike Middletown PA 17057-4848 |
| Practice Telephone | 7179440491 |
| Practice Fax Number | 7179441436 |
| Mailing Telephone | 7179440491 |
| Mailing Fax Number | 7179441436 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP016306 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103118722 | 05 |
| Street Address |
1025 W HARRISBURG PIKE |
| City | MIDDLETOWN |
| State | PA |
| Zip Code | 17057-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381984 | Elizabeth A Wolff | Family Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2005-07-29 |
| 1336758747 | Kate Elizabeth Garvin | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2020-07-31 |
| 1265941868 | Tracey Butay | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2017-09-26 |
| 1851811251 | Meena Bhaskaruni | Family Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2017-06-27 |
| 1528460318 | Alison P Gillmen | Physician Assistant | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2014-09-23 |
| 1922373281 | Jenna Leigh Henault | Physician Assistant | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2012-03-19 |
| 1225356751 | Nichole V Barton | Internal Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057 | 2010-05-07 |
| 1366631210 | Shekiba Shahabzada | Family Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2007-10-16 |
| 1417169541 | Viral P Patel | Family Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2007-05-03 |
| 1043250384 | Pinnacle Health Medical Services | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205388105 | Jeffrey Giovino | Driver | 3265 Fulling Mill Road, Middletown, PA 17057 | 2016-10-27 |
| 1619330123 | David I Shatto Jr. | Pharmacist | 1581 Woodridge Drive, Middletown, PA 17057 | 2016-04-01 |
| 1528440344 | Alexis Rose Falcone | Occupational Therapist | 1020 N. Union Street, Middletown, PA 17057 | 2015-06-29 |
| 1477992329 | Melinda Ann Ramberger | Physical Therapy Assistant | 1020 North Union St, Middletown, PA 17057 | 2013-06-24 |
| 1700906963 | Londonderry Fire Company No.1 | Ambulance | 2655 Foxianna Road, Middletown, PA 17057 | 2007-03-30 |
| 1780711333 | Bruce S Bashline D.o. Inc. | Family Medicine | 1100 Spring Garden Drive, Middletown, PA 17057 | 2007-02-28 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1518065242 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1565 Wharrisburg Pk, Middletown, PA 17057 | 2006-09-20 |
| 1235242512 | Andrew V Welkie | Dentist | 244 Adelia St, Middletown, PA 17057 | 2006-08-17 |
| 1790757094 | Gregory Albert Anoia Sr. | Optometrist | 120 West Water Street, Box 160, Middletown, PA 17057 | 2006-02-02 |
| Find all providers in zip 17057 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822000 | Janice Blake | Nurse Practitioner | 400 Saybrook Rd Ste 214, Middletown, CT 06457-4773 | 2019-07-05 |
| 1740637388 | Glenda Gagante | Nurse Practitioner | 103 Beacon St, Middletown, RI 02842-4805 | 2016-05-23 |
| 1538584255 | Olympia Rian Perna | Nurse Practitioner | 1000 Route 35, Suite 200, Middletown, NJ 07748-2606 | 2014-03-04 |
| 1568682581 | Valli Cohen | Nurse Practitioner | 325 High St, Middletown, CT 06459-3232 | 2007-05-01 |
| 1265550842 | Barbara Dedman | Nurse Practitioner | Davison Health Center 327 High St, Middletown, CT 06459-0001 | 2007-03-26 |
| 1366547358 | Susan M Bordonaro | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2006-09-14 |
| 1932133881 | Karla Kay Telfer | Nurse Practitioner | 602 N 5th St, Middletown, IN 47356-1008 | 2006-07-10 |
| 1487648812 | Barbara Manco | Nurse Practitioner | Rcwatc, 117 Seward Ave, Suite 12-16, Middletown, NY 10940 | 2005-08-31 |
| 1164428793 | Paula May Rutledge | Nurse Practitioner | 306 E Main St, Middletown, DE 19709-1482 | 2005-06-28 |
| 1336758747 | Kate Elizabeth Garvin | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2020-07-31 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 17057 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.