Active NPI
Matthew Myers Peters, CNP
- Family Nurse Practitioner
- T Or C, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 61497
- Practice address
- 800 E 9TH Ave
T Or C, NM 87901-1954 - Phone
- (575) 894-3221
- Fax
- (575) 894-4999
- NPI assigned
- Feb 2, 2010
- Last updated
- May 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN1025634 | DC | |
| Family Nurse Practitioner | 363LF0000X | 61497 | NM | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 0024147900 | VA |
Addresses
Primary practice location
800 E 9TH Ave
T Or C, NM 87901-1954
Mailing address
PO Box 2267
Santa Fe, NM 87504-2267
Phone (540) 222-0869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1313 E 32ND St
Silver City, NM 88061-7251
Phone (575) 538-4000
800 E 9TH Ave
T Or C, NM 87901-1954
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1025634 | DC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current | Accepting new patients | |
| Emergency Staffing Solutions Inc | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Las Cruces HB Medical Services LLC | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Sierra Vista Hospital | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Ess Hospitalist LLC | Current | Accepting new patients | |
| Sierra Vista Hospital | Past | Accepting new patients |
Locations
1850 E Historic Highway 66
Gallup, NM 87301
Phone (505) 722-9334
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875
2811 N Main St
Las Cruces, NM 88001
Phone (575) 526-0080
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953
800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270
Organizations & group practices 12
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.
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
-
dba MountainView Regional Medical Center
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
-
dba Rio Rancho Family Health Center
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
dba DC Primary Care
- Urgent Care Clinic/Center
- Alexandria, VA
- NPI 1174803514
-
dba PMS Central Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1518910553
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
-
dba RMCHCS Hospital
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
-
- Rural Health Clinic/Center
- Truth Or Consequences, NM
- NPI 1689638942
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1386976397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2267",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875042267",
"telephone_number": "540-222-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 9TH AVE",
"city": "T OR C",
"state": "NM",
"postal_code": "879011954",
"telephone_number": "575-894-3221",
"fax_number": "575-894-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MATTHEW",
"middle_name": "MYERS",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DC",
"license": "RN1025634",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "61497",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "VA",
"license": "0024147900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in T Or C, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.