Matthew Sean Ezelle, MSN, FNP-BC PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

40019 Issued in TN

Practice address

1549 Foxfire Cir
Seymour, TN 37865-3168

Phone

(865) 755-7877

NPI assigned

Oct 14, 2025

Last updated

May 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1427924745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 FOXFIRE CIR",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653168",
            "telephone_number": "865-755-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 FOXFIRE CIR",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653168",
            "telephone_number": "865-755-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Agnes Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379196306",
            "country_code": "US",
            "telephone_number": "865-968-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZELLE",
        "first_name": "MATTHEW",
        "middle_name": "SEAN",
        "credential": "MSN, FNP-BC PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "40019",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95038005",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95038005",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "40019",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dyer, PT
• Eagle Den Discount Drug, LLC (East Tennessee Discount Drug)
• Eagle Den Discount Drug, LLC (Eagle Den Discount Drug)
• East Tennessee Children's Primary Care Center, Inc. (Dolly Parton Children's Hospital Seymour Pediatrics)
• Ewing Jackson Threet, II, DMD, MSD, PLLC (E Jackson Threet, DMD, MSD ENDODONTIST)
• Family Dentistry of Seymour
• Maggie Corrine Farley, FNP
• Dennis Lee Farmer
• Kelly Jay Ferris, PT
• Maryann Fields, HIS

• Psychiatric/Mental Health Nurse Practitioner in Seymour, TN
• Providers in Seymour, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.