Individual provider Active NPI

Matthew Kern, FNP-C

  • Family Nurse Practitioner
  • Portland, TX
National Provider Identifier
1225558307
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134169 Issued in TX
Practice address
125 Northshore Blvd
Portland, TX 78374-4206
Phone
(361) 480-0334
NPI assigned
Jun 21, 2017
Last updated
Jun 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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 AP134169 TX Primary

Addresses

Primary practice location

125 Northshore Blvd
Portland, TX 78374-4206

Mailing address

703 S Verne St
Rockport, TX 78382-4615
Phone (210) 413-9734

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220420002924 TX Practitioner - Nurse Practitioner 6608263678 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CC Doctors Center Portland, PLLCGroup PAC ID 8729467956, 2 clinicians
Lonestar Urgent Care LLCGroup PAC ID 2860868619, 7 clinicians
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

125 Northshore Blvd
Portland, TX 78374-4206
Phone (361) 480-0334

1702 Rodd Field Rd
Suite 105
Corpus Christi, TX 78412-5027
Phone (361) 816-9753

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

5917 Crosstown Epwy
SH 286
Corpus Christi, TX 78417-3504
Phone 3618541454113

5917 Crosstown Epwy SH
Suite 286
Corpus Christi, TX 78417-3504

5917 Crosstown Expy
Corpus Christi, TX 78417-3504

7121 S Padre Island Dr
Suite 306
Corpus Christi, TX 78412-4941
Phone (361) 854-0811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134169TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Corpus Christi CurrentSince Oct 1, 2025 Accepting new patients
CC Doctors Center Portland, PLLC CurrentSince May 1, 2022 Accepting new patients
Calallen Minor Emergency Center, PA CurrentSince Mar 12, 2022 Accepting new patients
Lonestar Urgent Care LLC CurrentSince Sep 9, 2025 Accepting new patients
Nueces Emergency Services, PA CurrentSince Mar 12, 2022 Accepting new patients
Orthopedic Associates of Corpus Christi CurrentSince Oct 1, 2025 Accepting new patients

Locations

4637 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-6824

11559 Leopard St
Corpus Christi, TX 78410
Phone (361) 241-1116

1702 Rodd Field Rd
Ste 105
Corpus Christi, TX 78412
Phone (361) 816-9753

5917 Crosstown Expy
#286
Corpus Christi, TX 78417
Phone (361) 854-1454

7121 S Padre Island Dr
Ste 306
Corpus Christi, TX 78412

125 Northshore Blvd
Portland, TX 78374
Phone (361) 480-0334

Interoperability endpoints

  • Direct secure messaging: matthew.kern.1@15288.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1225558307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S VERNE ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783824615",
            "telephone_number": "210-413-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NORTHSHORE BLVD",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783744206",
            "telephone_number": "361-480-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "MATTHEW",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

Verify at the official NPI Registry.