Individual provider Active NPI

Matthew David Totter, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1396224390
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53771 Issued in NM
Practice address
4600 Montgomery Blvd NE Ste D201
Albuquerque, NM 87109-1211
Phone
(505) 884-0079
NPI assigned
Aug 9, 2018
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-75506 NM
Family Nurse Practitioner 363LF0000X 53771 NM Primary

Addresses

Primary practice location

4600 Montgomery Blvd NE Ste D201
Albuquerque, NM 87109-1211

Mailing address

4600 Montgomery Blvd NE Ste D201
Albuquerque, NM 87109-1211
Phone (505) 884-0079

Other identifiers 1

IdentifierTypeStateIssuer
96608706MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthewtotter@direct.practicefusion.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181117000079 NM Practitioner - Nurse Practitioner 4688928252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Family Medicine LLCGroup PAC ID 2466850094, 2 clinicians

Practice addresses (Care Compare)

4600 Montgomery Blvd NE
Suite D201
Albuquerque, NM 87109-1211
Phone (505) 237-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-75506NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Family Medicine LLC CurrentSince Sep 24, 2021 Accepting new patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients

Locations

4600 Montgomery Blvd NE
Ste D201
Albuquerque, NM 87109
Phone (505) 237-8800

Interoperability endpoints

  • Direct secure messaging: matthewtotter@direct.practicefusion.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1396224390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY BLVD NE STE D201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091211",
            "telephone_number": "505-884-0079",
            "fax_number": "505-884-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY BLVD NE STE D201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091211",
            "telephone_number": "505-884-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTTER",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-75506",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "53771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96608706",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthewtotter@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Direct messenger",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Montgomery Blvd NE Ste D201",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871091211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.