Matrix Medical Plus

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MATRIX MEDICAL PLUS

Practice address

424 Church St Ste 2600
Nashville, TN 37219-2379

Phone

(877) 564-3627

NPI assigned

Nov 26, 2013

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Peterson

Title

Manager Credentialing/Enrollment

Phone

(877) 564-3627

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, IL, TN, MA, WI, PA, CT, MI, MN, AR, WV, OR, SC13 enrollments

Enrollment records 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  Member Of

  NPD member

Locations

Practitioners 578

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Creppel Bourgeois, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1497220214

  NC, WV

  Medicare reassignment NPD
• Aimee Elliott, NP

  • Adult Health Nurse Practitioner
  • Erwin, TN
  • NPI 1992004824
  Medicare reassignment NPD
• Sarah England, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Franklin, TN
  • NPI 1043743404

  WV

  Medicare reassignment NPD
• Carol S Goostree, NP

  • Family Nurse Practitioner
  • Hendersonvlle, TN
  • NPI 1699149914
  Medicare reassignment NPD
• Ruth Jackson, APN

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1285092593
  Medicare reassignment NPD
• Jason Michael Kiernan, NP, PHD

  • Acute Care Nurse Practitioner
  • Oak Ridge, TN
  • NPI 1972605715

  MI

  Medicare reassignment NPD
• Meredith Alexis Rone, DNP

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1356793327
  Medicare reassignment NPD
• Elizabeth A Russell

  • Family Nurse Practitioner
  • Goodlettsville, TN
  • NPI 1245779263
  Medicare reassignment NPD
• Micki Lee Whitlock, NP-C

  • Family Nurse Practitioner
  • Elizabethton, TN
  • NPI 1316259203
  Medicare reassignment NPD
• Karalyn M Adam, DNP, RN

  • Nurse Practitioner
  • Marshfield, WI
  • NPI 1780933051
  Medicare reassignment NPD
• Aminat Funmilayo Adedayo, NURSE PRACTITIONER

  • Nurse Practitioner
  • Saint Paul, MN
  • NPI 1639717333
  Medicare reassignment NPD
• Oyinlola Adetola

  • Family Nurse Practitioner
  • Wayne, NJ
  • NPI 1306251764

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1376973461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST STE 220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192464",
            "telephone_number": "877-564-3627",
            "fax_number": "480-718-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST STE 2600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192379",
            "telephone_number": "877-564-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MEDICAL PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGER CREDENTIALING/ENROLLMENT",
        "authorized_official_telephone_number": "877-564-3627"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Matic, D.M.D.
• Justin Mark Matlage, MS, ATC, LAT
• Kristal Anne Matlock, M.D.
• Valeria Roberts Matlock, CCCA
• Miranda K Matney, MSN, CNM
• Alexander Macdonald Matson, ARNP
• Hironobu Matsuoka
• Matt Gorham Jr., D.D.S., P.C.
• Matt Katz, MD, PC
• Milad Matta, MD

• Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.