Active NPI
Matthew Emerson Kaiser, PA-C
- Medical Physician Assistant
- Artesia, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2018-0044
- Practice address
- 702 N 13TH St
Artesia, NM 88210 - Phone
- (575) 746-3119
- Fax
- (575) 748-8524
- NPI assigned
- Dec 23, 2015
- Last updated
- Nov 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007593 | MI | |
| Medical Physician Assistant | 363AM0700X | PA2018-0044 | NM | Primary |
Addresses
Primary practice location
702 N 13TH St
Artesia, NM 88210
Mailing address
702 N 13TH St
Artesia, NM 88210-1166
Phone (575) 746-3119
Other practice location 1
364 W Wright Ave
Shepherd, MI 48883-2502
Phone (989) 828-6691
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601007593 | Other | MI | MI PA LICENSE PERMANENT ID |
| 1130317 | Other | MI | NCCPA ID |
| PA2018-0044 | Other | NM | NM PA LICENCING BOARD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkaiser@artesiageneral.com | Direct | |
| Direct Messaging Address | mfp@artesiageneral.hin.us | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
702 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-8000
712 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Group | Current | Accepting new patients | |
| Artesia General Hospital | Current | Accepting new patients | |
| Artesia General Hospital | Past | Accepting new patients | |
| Southwestern Regional Medical Center | Past | Accepting new patients |
Locations
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
5785 E Broadway Rd
Mt Pleasant, MI 48858
Phone (989) 773-9421
364 W Wright Ave
Shepherd, MI 48883
Phone (989) 828-6691
702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333
Interoperability endpoints
- mfp@artesiageneral.hin.us
Organizations & group practices 5
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.
-
dba Artesia Healthcare Professionals
- Surgery Physician
- Artesia, NM
- NPI 1114076825
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
dba MyMichigan Family Medicine
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Psychiatry Physician
- Midland, MI
- NPI 1407805302
-
dba Artesia Healthcare Professionals
- Internal Medicine Physician
- Artesia, NM
- NPI 1225065527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
- Home Health Agency
- Artesia, NM
- NPI 1568465052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1053776708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 N 13TH ST",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882101166",
"telephone_number": "575-746-3119",
"fax_number": "575-748-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 N 13TH ST",
"city": "ARTESIA",
"state": "NM",
"postal_code": "88210",
"telephone_number": "575-746-3119",
"fax_number": "575-748-8524"
}
],
"practiceLocations": [
{
"address_1": "364 W Wright Ave",
"address_purpose": "LOCATION",
"city": "Shepherd",
"state": "MI",
"postal_code": "488832502",
"country_code": "US",
"telephone_number": "989-828-6691",
"fax_number": "989-828-6835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAISER",
"first_name": "MATTHEW",
"middle_name": "EMERSON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-23",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007593",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "PA2018-0044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI PA LICENSE PERMANENT ID",
"identifier": "5601007593",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA ID",
"identifier": "1130317",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM PA LICENCING BOARD",
"identifier": "PA2018-0044",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkaiser@artesiageneral.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "702 N 13th St",
"city": "Artesia",
"state": "NM",
"country_code": "US",
"postal_code": "882101166",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfp@artesiageneral.hin.us",
"affiliation": "N",
"endpointDescription": "EHR Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "702 N 13th St",
"city": "Artesia",
"state": "NM",
"country_code": "US",
"postal_code": "88210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Artesia, NM
- Johnny C. Moreno, MD PA
- Aimee Kathleen Johnson, RN
- Cindy Diane Jones, CFNP
- Jackie S. Jones, SPEECH LANGUAGE PATH
- JTK Corp (Artesia Medical Center)
- Alieu Sulaiman Kanu, DPM
- Karen a Martin (Artesia Medical Supply)
- Elizabeth Kasbohm, LMHC
- Kay L. Younggren DDS (Smile Xpressions)
- Kay L. Younggren, DDS (Smile Xpressions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.