Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew David Roth, MSNFNP-BC

Individual provider Family Nurse Practitioner · NPI 1811580442

Matthew David Roth, MSNFNP-BC is a Nurse Practitioner in Ortonville, Michigan. Graduated from University of Michigan Medical School in 2020, 6 years ago. Practices with Hurley Medical Center, a 336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

540 Douglaston Dr
Ortonville, MI 48462-8525
Phone: (248) 390-7392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hurley Plz # 4e, Flint, MI 48503-5902 — (810) 262-9020

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704293971 (MI)

Record details

NPI number1811580442
Entity typeIndividual (Type 1)
GenderMale
Credentials MSNFNP-BC
Sole proprietorNo
NPI enumeratedFebruary 15, 2021
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Hurley Medical Center — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ortonville