Matthew Munda, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0106050 Issued in OK

Practice address

13921 N Meridian Ave Ste 100
Oklahoma City, OK 73134-1106

Phone

(405) 752-9600

Fax

(405) 752-9650

NPI assigned

Jul 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Merit-based Incentive Payment System (MIPS)

Final score

33.43 of 100Reported as individual

Quality

20

Improvement activities

0

Cost

63.5

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.munda@1374.securemail.prognocis.com

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.

• Kelly Medical, PC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1467495226
  Medicare reassignment NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1114300316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 612",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-601-8810",
            "fax_number": "877-795-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 N MERIDIAN AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341106",
            "telephone_number": "405-752-9600",
            "fax_number": "405-752-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDA",
        "first_name": "MATTHEW",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0106050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200701860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ikram Mume
• Marianne Leigh Mumford, NNP-BC
• Richard Lee Mumford Jr., MPH
• Damali N Mumina
• Justin Muncy
• Cassi Mundell
• Teresa Lynn Mundy, M.ED., LPC
• Aayshah Muneerah, M.D.
• Niket Muni, M.D.
• Jose M. Muniz III

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.

Verify at the official NPI Registry.