Individual provider Active NPI

Matthew Todd Daniel, APRN, FNP-BC

  • Nurse Practitioner
  • Prestonsburg, KY
National Provider Identifier
1205728094
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4043423 Issued in KY
Practice address
5000 Ky-321
Prestonsburg, KY 41653
Phone
(606) 886-8511
NPI assigned
Jul 17, 2025
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4043423 KY Primary

Addresses

Primary practice location

5000 Ky-321
Prestonsburg, KY 41653

Mailing address

513 E Dorton Blvd
Staffordsville, KY 41256-9128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20260317003425 WV Practitioner - Nurse Practitioner 3173007291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1448 10TH Ave
Huntington, WV 25701-3579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4043423KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Medical Management, LLC Nurse Practitioner CurrentSince Mar 15, 2026 Accepting new patients
St. Mary's Medical Management, LLC CurrentSince Mar 15, 2026 Accepting new patients

Locations

2828 1st Ave
Ste 510
Huntington, WV 25702
Phone (304) 399-7548

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1205728094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E DORTON BLVD",
            "city": "STAFFORDSVILLE",
            "state": "KY",
            "postal_code": "412569128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 KY-321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-886-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MATTHEW",
        "middle_name": "TODD",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4043423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.