Individual provider Active NPI

Matthew Gilkey, FNP

  • Family Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1093258964
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9689 Issued in AZ
Practice address
1515 E Cedar Ave Ste C-1
Flagstaff, AZ 86004-1637
Phone
(928) 224-9138
Fax
(928) 272-0112
NPI assigned
Nov 28, 2016
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 AP9689 AZ Primary

Addresses

Primary practice location

1515 E Cedar Ave Ste C-1
Flagstaff, AZ 86004-1637

Mailing address

1515 E Cedar Ave Ste C-1
Flagstaff, AZ 86004-1637
Phone (928) 224-9138

Other practice location 1

630 N Alvernon Way Ste 251
Tucson, AZ 85711-1879
Phone (520) 322-8460

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
I20170103001524 AZ Practitioner - Nurse Practitioner 6204117369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1515 E Cedar Ave
Suite C 1
Flagstaff, AZ 86004-1637
Phone (928) 224-9138

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gilkey Family Care PLLC Family CurrentSince Aug 1, 2022 Accepting new patients
Carondelet Medical Group, Inc Family Past Accepting new patients

Locations

1515 E Cedar Ave
Ste C-1
Flagstaff, AZ 86004
Phone (928) 224-9138

Organizations & group practices 2

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 5

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": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1093258964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E CEDAR AVE STE C-1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041637",
            "telephone_number": "928-224-9138",
            "fax_number": "928-272-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E CEDAR AVE STE C-1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041637",
            "telephone_number": "928-224-9138",
            "fax_number": "928-272-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Alvernon Way Ste 251",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857111879",
            "country_code": "US",
            "telephone_number": "520-322-8460",
            "fax_number": "520-323-5742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILKEY",
        "first_name": "MATTHEW",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.