Matthew Dean Nielsen, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC005995 Issued in PA

Practice address

550 Rush Creek Pkwy
Suite a
Liberty, MO 64068-9604

Phone

(816) 455-1155

Fax

(816) 455-1161

NPI assigned

Jan 7, 2010

Last updated

Jan 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot Specialists of Kansas City PAGroup PAC ID 5496762411, shared by 12 NPIs, 18 clinicians

Comprehensive Foot Centers, P.a.Group PAC ID 4082661954, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Hospital Hospital, Liberty, MO, CCN 260177
• NKC Health Hospital, North Kansas City, MO, CCN 260096

Merit-based Incentive Payment System (MIPS)

Final score

64.86 of 100Reported as group

Quality

29.72

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnielsen@usfas.emadirect.md

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.

• Comprehensive Foot Centers, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Liberty, MO
  • NPI 1316018989

  KS

  Medicare reassignment Care Compare group
• Foot Specialists of Kansas City, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Blue Springs, MO
  • NPI 1871716472
  Medicare reassignment NPD
• Foot Specialists of Kansas City, PA

  • Foot & Ankle Surgery Podiatrist
  • Overland Park, KS
  • NPI 1689604050
  Medicare reassignment NPD
• Foot Specialists of Kansas City, PA

  dba Comprehensive Foot and Ankle Centers

  • Podiatrist
  • Liberty, MO
  • NPI 1861363277
  NPD
• Mid America Foot and Ankle Specialist, PC

  • Foot & Ankle Surgery Podiatrist
  • Gladstone, MO
  • NPI 1346457314
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare affiliation
• North Kansas City Hospital

  dba Skilled Nursing Unit

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  dba NKC Health

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799
  Care Compare affiliation

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1396075743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 RUSH CREEK PKWY",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689604",
            "telephone_number": "816-455-1155",
            "fax_number": "816-455-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 RUSH CREEK PKWY",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689604",
            "telephone_number": "816-455-1155",
            "fax_number": "816-455-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MATTHEW",
        "middle_name": "DEAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall C Newth, MD
• Robert C Newth, MD
• Anna Nguyen
• Linh Ngoc Nguyen, RPH
• Shayna Nguyen
• Nathaniel Thomas Nielsen, DO
• Tanya McCrea Nielsen, MS CCCA
• Joshua Joe Niemann, M.D.
• Elizabeth Noble
• Holley Noble, FNP-C

• Foot & Ankle Surgery Podiatrist in Liberty, MO
• Providers in Liberty, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.

Verify at the official NPI Registry.