Individual provider Active NPI

Matthew Michael Fox, APRN

  • Gerontology Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1245117175
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53-84781-052 Issued in KS
Practice address
3535 N Webb Rd
Wichita, KS 67226-8127
Phone
(316) 686-5300
NPI assigned
Aug 20, 2025
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 53-84781-052 KS Primary
Registered Nurse 163W00000X 13153722052 KS

Addresses

Primary practice location

3535 N Webb Rd
Wichita, KS 67226-8127

Mailing address

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20251112000530 KS Practitioner - Nurse Practitioner 5597256115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Cardiology, LLCGroup PAC ID 1254646789, 27 clinicians

Practice addresses (Care Compare)

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13153722052KSMDRegistered Nurse
53-84781-052KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Cardiology, LLC CurrentSince Sep 25, 2025 Accepting new patients
Heartland Cardiology, LLC CurrentSince Sep 25, 2025 Accepting new patients
Heartland Cardiology, PA Past Accepting new patients

Locations

3535 N Webb Rd
Wichita, KS 67226
Phone (316) 260-4491

9000 W Central Ave
Wichita, KS 67212
Phone (316) 686-5300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHGAA

Organizations & group practices 3

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 2

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1245117175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-84781-052",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13153722052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.