Matthew Kevin Bounds, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Fayette, MS
NPI 1295273670 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1295273670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 901946 (MS)
- Practice address
- 821 Main St
Fayette, MS 39069-5695 - Phone
- (601) 809-0882
- Fax
- (601) 809-0883
- NPI assigned
- Feb 6, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
821 Main St
Fayette, MS 39069-5695
Phone (601) 953-3143
Hospital & facility affiliations
- Arden Home Health of West Ms, LLC
- Adoration Home Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Bounds Family Medical |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) W-2 Managing Employee (100%) |
Oct 22, 2024 Oct 22, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180731000508 | MS | Practitioner - Nurse Practitioner | 5395093975 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Ms, LLC | Current |
Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGBIBD/Endpoint/AGBIBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901946 | MS | Yes |
Addresses
Primary practice location
821 Main St
Fayette, MS 39069-5695
Mailing address
PO Box 91
Fayette, MS 39069-0091
Phone (601) 953-3143
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07583381 | Medicaid | MS | |
| 06852808 | Medicaid | MS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | boundsmedical@gmail.com |
Other providers in Fayette, MS
- At Home Care, Inc.
- At Home Hospice Care, Inc.
- Alicia R Berry-Kaho
- Bounds Family Medical
- Bounds Family Medical
- Hattori Almeshia Brice
- CC Reliable Care Services LLC
- Chambliss Counseling Services PLLC
- Sharron Daneka Chambliss
- Crystal S Cook
All providers in Fayette, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.