Active NPI
Matthew Kilgore, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60825331
- Practice address
- 100 N Howard St Ste 5158
Spokane, WA 99201-0508 - Phone
- (509) 608-9792
- Fax
- (509) 267-7923
- NPI assigned
- Jun 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60825331 | WA | Primary |
Addresses
Primary practice location
100 N Howard St Ste 5158
Spokane, WA 99201-0508
Mailing address
100 N Howard St Ste 5158
Spokane, WA 99201-0508
Phone (509) 608-9792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9116 Gravelly Lake Dr SW
Suite 102
Lakewood, WA 98499-3148
Phone (253) 200-5763
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60825331 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telehealth Treatment Services PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Neurostim TMS, PS | Current | Accepting new patients |
Locations
3450 S 344th Way
Ste 115
Federal Way, WA 98001
Phone (253) 345-1500
5210 Corporate Center Ct SE
Ste C
Lacey, WA 98503
Phone (360) 208-2765
9116 Gravelly Lake Dr SW
Ste 102
Lakewood, WA 98499
Phone (253) 200-5763
450 S Kitsap Blvd
Ste 160
Port Orchard, WA 98366
Phone (360) 616-0543
100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163
Interoperability endpoints
- neurostimtmscenters.matthewkilgore@152109.advancedmd-direct.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 and National Provider Directory roles.
-
- Psychiatry Physician
- Lakewood, WA
- NPI 1710415617
-
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
- NPI 1073467296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1447743117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE 5158",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "509-608-9792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE 5158",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "509-608-9792",
"fax_number": "509-267-7923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "MATTHEW",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60825331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.