Individual provider Active NPI

Matthew Paul Vincent, APRN-BC

  • Family Nurse Practitioner
  • Jennings, LA
National Provider Identifier
1467730531
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06587 Issued in LA
Practice address
114 N Lake Arthur Ave
Jennings, LA 70546-5738
Phone
(337) 246-7282
Fax
(866) 788-0477
NPI assigned
Jul 23, 2011
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06587 LA Primary

Addresses

Primary practice location

114 N Lake Arthur Ave
Jennings, LA 70546-5738

Mailing address

114 N Lake Arthur Ave
Jennings, LA 70546-5738
Phone (337) 246-7282

Other identifiers 1

IdentifierTypeStateIssuer
2164252MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110926000677 LA Practitioner - Nurse Practitioner 7810168796 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Medical ClinicGroup PAC ID 2466987466, 2 clinicians
Riverside Emergency Physician Partners LLCGroup PAC ID 0042568917, 12 clinicians

Practice addresses (Care Compare)

1615 Johnson St
Suite B
Jennings, LA 70546-3650
Phone (337) 761-1880

1900 Main St
Franklinton, LA 70438-3688
Phone (985) 839-4431

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06587LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince Nov 18, 2014 Accepting new patients
Jefferson Davis Emergency Group LLC CurrentSince Jan 15, 2014 Accepting new patients
Riverside Emergency Physician Partners LLC CurrentSince May 25, 2024 Accepting new patients
Coolidge Emergency Group LLC CurrentSince Jul 1, 2013 Accepting new patients
Apex Medical Clinic Family CurrentSince Sep 3, 2024 Accepting new patients
Jefferson Emergency Medicine Associates PA Past Accepting new patients
Pioneer Emergency Medicine Associates PA Past Accepting new patients

Locations

1615 Johnson St
Ste B
Jennings, LA 70546
Phone (337) 246-3556

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

1900 Main St
Sheridan, LA 70438
Phone (985) 795-4294

Interoperability endpoints

  • Direct secure messaging: matthew.vincent@860093536534532.direct.elationemr.com
  • Direct secure messaging: mvincent5286189@direct.casso.us.com

Organizations & group practices 8

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 2

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": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1467730531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N LAKE ARTHUR AVE",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465738",
            "telephone_number": "337-246-7282",
            "fax_number": "866-788-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N LAKE ARTHUR AVE",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465738",
            "telephone_number": "337-246-7282",
            "fax_number": "866-788-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-23",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164252",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.