Individual provider Active NPI

Matthew David Michaud, FNP

  • Family Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1053045948
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
279320 Issued in AZ
Practice address
400 W Camino Casa Verde Ste 100
Green Valley, AZ 85614-3569
Phone
(520) 625-1760
Fax
(520) 648-9496
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 279320 AZ Primary

Addresses

Primary practice location

400 W Camino Casa Verde Ste 100
Green Valley, AZ 85614-3569

Mailing address

PO Box 22224
Belfast, ME 04915-4473
Phone (469) 803-3000

Other practice location 1

2260 N Rosemont Blvd
Tucson, AZ 85712-2137
Phone (520) 318-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221014001775 AZ Practitioner - Nurse Practitioner 0547636680 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279320AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Aug 23, 2020 Accepting new patients
Sanova Urgent Care PLLC CurrentSince Jun 1, 2025 Accepting new patients
Arizona Community Physicians PC CurrentSince Oct 1, 2022 Accepting new patients
Arizona Community Physician PC CurrentSince Oct 1, 2022 Accepting new patients
Arizona Physician Group PLLC CurrentSince Jun 1, 2025 Accepting new patients
Carondelet Medical Group, Inc Family PastSince Jul 8, 2026 Accepting new patients

Locations

400 W Camino Casa Verde
Ste 100
Green Valley, AZ 85614
Phone (520) 625-1760

5983 E Grant Rd
Ste 101
Tucson, AZ 85712
Phone (520) 420-1966

2260 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 318-1033

2260 N Rosemont Blvd
Ste 107
Tucson, AZ 85712
Phone (520) 318-1033

5605 E River Rd
Ste 219
Tucson, AZ 85750
Phone (520) 314-4275

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1053045948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22224",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154473",
            "telephone_number": "469-803-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAMINO CASA VERDE STE 100",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143569",
            "telephone_number": "520-625-1760",
            "fax_number": "520-648-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 N Rosemont Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122137",
            "country_code": "US",
            "telephone_number": "520-318-1033",
            "fax_number": "520-318-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "279320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.