Individual provider Active NPI

Matthew Lee Dunn, NP

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1235330804
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
677880 Issued in TX
Practice address
3080 College St
3 Sabine/Progressive Care Unit
Beaumont, TX 77701-4606
Phone
(409) 212-7303
Fax
(409) 212-7301
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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 677880 TX Primary

Addresses

Primary practice location

3080 College St
3 Sabine/Progressive Care Unit
Beaumont, TX 77701-4606

Mailing address

3080 College Street
3 Sabine/Progressive Care Unit
Beaumont, TX 77704
Phone (409) 212-7303

Other identifiers 2

IdentifierTypeStateIssuer
204499201MedicaidTX
P00729224OtherTXRAILROAD MEDICARE

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
I20090624000637 TX Practitioner - Nurse Practitioner 1658422043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Texas Intensivists, PLLCGroup PAC ID 7810342672, 37 clinicians
Gulf Coast Intensivists, PLLCGroup PAC ID 2264896364, 39 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Emergency Medicine Associates PLLC CurrentSince Sep 1, 2009 Accepting new patients
Baptist Physician Network CurrentSince Jul 1, 2019 Accepting new patients
Southeast Texas Intensivists, PLLC Nurse Practitioner CurrentSince Sep 18, 2023 Accepting new patients
Jefferson Intensivist Group PA Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Beaumont Radiology Group, LLP Past Accepting new patients

Locations

3080 College St
#3
Beaumont, TX 77701
Phone (409) 212-7303

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: np_-_matthew_dunn@yourcarecommunity.org

Organizations & group practices 6

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.

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1235330804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE STREET",
            "address_2": "3 SABINE/PROGRESSIVE CARE UNIT",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77704",
            "telephone_number": "409-212-7303",
            "fax_number": "409-212-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE ST",
            "address_2": "3 SABINE/PROGRESSIVE CARE UNIT",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014606",
            "telephone_number": "409-212-7303",
            "fax_number": "409-212-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "677880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204499201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00729224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.