Individual provider Active NPI

Matthew Reese, APRN-CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1306544986
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1190672 Issued in TX
Practice address
1217 1St St NW
Albuquerque, NM 87102-1529
Phone
(505) 766-5197
NPI assigned
Feb 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 72176 NM
Family Nurse Practitioner 363LF0000X 1190672 TX Primary

Addresses

Primary practice location

1217 1St St NW
Albuquerque, NM 87102-1529

Mailing address

1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9300

Other practice location 1

1210 W Braker Ln
Austin, TX 78758-3801
Phone (512) 978-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230425001466 NM Practitioner - Nurse Practitioner 1254796378 Reassigns benefits to 1 organization
I20251023000396 TX Practitioner - Nurse Practitioner 1254796378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72176NMMDFamily Nurse Practitioner
1190672TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Health Care for the Homeless, Inc. CurrentSince Apr 12, 2023 Accepting new patients
Central Texas Community Health Centers CurrentSince Sep 1, 2025 Accepting new patients
Central Texas Community Health Centers Family CurrentSince Sep 1, 2025 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

1217 1st St NW
Albuquerque, NM 87102
Phone (505) 242-4644

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1306544986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583801",
            "telephone_number": "512-978-9300",
            "fax_number": "512-901-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 1ST ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021529",
            "telephone_number": "505-766-5197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 W Braker Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787583801",
            "country_code": "US",
            "telephone_number": "512-978-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "MATTHEW",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "72176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1190672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.