Amy Chan Matchett, DNP-FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN182315 Issued in AZ

Practice address

4892 N Stone Ave Ste 100
Tucson, AZ 85704-5761

Phone

(520) 396-1360

Fax

(520) 795-9043

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Chan Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.matchett.1@600.direct.athenahealth.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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.

• Tucson Physician Group Holdings, LLC

  • Interventional Cardiology Physician
  • Tucson, AZ
  • NPI 1356726939

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Carondelet Medical Group, Inc

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1659326585
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1225637184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4892 N STONE AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045761",
            "telephone_number": "520-396-1360",
            "fax_number": "520-795-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4892 N STONE AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045761",
            "telephone_number": "520-396-1360",
            "fax_number": "520-795-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATCHETT",
        "first_name": "AMY",
        "middle_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN182315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Marie Mata, CASE MANAGER
• Toni Jo Mataczynski, OTR/L
• Marc Nino Bala Matanza, RRT
• Diana Matatova, DMD
• Glenn A Matchett-Morris, PHD
• Cristina Irene Matei, M.D.
• Priscila G Matei, LPC
• Kristine Mateos
• Christine Michelle Matera, CPM, LM
• Lynann Marie Materna

• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.