Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew C Anderson

Individual provider Registered Nurse · NPI 1063082394

Matthew C Anderson is a Certified Registered Nurse Anesthetist (CRNA) in Erie, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Providence Health and Service- Washington, a 172-clinician group and accepts Medicare assignment. Licensed in Indiana, Pennsylvania and Washington.

Years since qualifying
4
Licensed in
IN, PA, WA
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

201 State St
Erie, PA 16550-0002
Phone: (480) 452-5958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP61524838 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN724252 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 28274210A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RN724252

Record details

NPI number1063082394
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing addressPo Box 94645, Seattle, WA 98124-6945

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Service- Washington — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Erie