Individual provider Active NPI

Matthew Holcomb, NP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1033406855
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
589125 Issued in TX
Practice address
6010 Amarillo Blvd West
Amarillo, TX 79106
Phone
(806) 220-9444
NPI assigned
Jun 30, 2011
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 589125 TX Primary

Addresses

Primary practice location

6010 Amarillo Blvd West
Amarillo, TX 79106

Mailing address

1900 Medi Park Dr
Amarillo, TX 79106-2187
Phone (806) 220-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708000276 TX Practitioner - Nurse Practitioner 4183849177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Urology Associates LLPGroup PAC ID 5890779227, 14 clinicians

Practice addresses (Care Compare)

1900 Medi Park Dr
Amarillo, TX 79106-2187
Phone (806) 355-9447

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.27 of 100Reported as group
Quality
77.74
Promoting interoperability
99
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
589125TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Urology Associates LLP CurrentSince Apr 15, 2014 Accepting new patients

Locations

1900 Medi Park Dr
Amarillo, TX 79106
Phone (806) 355-9447

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15926/brand/4/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1033406855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MEDI PARK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062187",
            "telephone_number": "806-220-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 AMARILLO BLVD WEST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-220-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "589125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.