Active NPI
Matthew David Michaud, FNP
- Family Nurse Practitioner
- Green Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 279320
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279320 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physician Group Holdings, LLC | Current | Accepting new patients | |
| Sanova Urgent Care PLLC | Current | Accepting new patients | |
| Arizona Community Physicians PC | Current | Accepting new patients | |
| Arizona Community Physician PC | Current | Accepting new patients | |
| Arizona Physician Group PLLC | Current | Accepting new patients | |
| Carondelet Medical Group, Inc | Family | Past | 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
- 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.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1205871076
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1578272555
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tucson, AZ
- NPI 1922141902
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1144106451
-
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1659326585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.