Individual provider Active NPI

Matthew Carter, APRN

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1437614641
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140393 Issued in TX
Practice address
3030 North St Ste 460
Beaumont, TX 77702-1499
Phone
(409) 892-6099
NPI assigned
Feb 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140393 TX Primary

Addresses

Primary practice location

3030 North St Ste 460
Beaumont, TX 77702-1499

Mailing address

1000 Rebecca LN
Bridge City, TX 77611-3127
Phone (409) 988-1599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190430001981 TX Practitioner - Nurse Practitioner 6305188947 Reassigns benefits to 3 organizations

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
First Docs PC 181 clinicians

Practice addresses (Care Compare)

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone (609) 585-1122

Hospital & facility affiliations

  • The Medical Center of Southeast Texas Hospital, Port Arthur, TX, CCN 450518

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140393TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Associates, LLP CurrentSince May 1, 2019 Accepting new patients
First Docs PC CurrentSince Jul 1, 2025 Accepting new patients
Acorn Medical Home Past Accepting new patients

Locations

3030 North St
Ste 460
Beaumont, TX 77702
Phone (409) 892-6099

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1437614641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REBECCA LN",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113127",
            "telephone_number": "409-988-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST STE 460",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021499",
            "telephone_number": "409-892-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MATTHEW",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.