Matthew Kinzie, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1021010 Issued in TX

Practice address

4401 Garth Rd
Baytown, TX 77521-2122

Phone

(281) 420-8600

Fax

(832) 210-2253

NPI assigned

Dec 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laredo ICU LLCGroup PAC ID 7618324898, 27 clinicians

Lone Star Intensivists at Gulf Coast, PLLCGroup PAC ID 9537410972, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097
• Laredo Medical Center Hospital, Laredo, TX, CCN 450029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkinzie402760@directhoustonmethodist.org
• Direct secure messaging: matthew.kinzie@hca2.eclinicaldirectplus.com

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.

• Lone Star Intensivists at Gulf Coast, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Webster, TX
  • NPI 1528558236
  Medicare reassignment Care Compare group NPD
• Seasons Medical Group of Texas, PLLC

  dba AccentCare Medical Group of Texas

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Irving, TX
  • NPI 1275931545
  Medicare reassignment
• Laredo ICU, LLC

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1649952649
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Bayshore LP

  dba Bayshore Medical Center

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation
• Laredo Texas Hospital Company LP

  dba Laredo Medical Center

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1548232044
  Care Compare affiliation

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1205473790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 NOBLE STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77020",
            "telephone_number": "786-762-6184",
            "fax_number": "713-395-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212122",
            "telephone_number": "281-420-8600",
            "fax_number": "832-210-2253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Fannin St., Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-486-8000",
            "fax_number": "713-486-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINZIE",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11004701",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1021010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Kicza, MD
• Danna Atherton Kiersh, PA-C
• Youngshin Kim Cobabe, MS, PT
• Kinesio Therapy Associates
• James Clifton King, MD
• Kiran Sharma , M.D. PA (Allergy,Asthma, Arthritis &Pain Center)
• Lori Kirk, H.I.S.
• Chaqualla Shana Kirklin
• Jesse Beck Kirkpatrick, D.D.S.
• Donna Kline, PT

• Acute Care Nurse Practitioner in Baytown, TX
• Providers in Baytown, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.