Individual provider Active NPI

Brenda R Matzke

  • Primary Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1497290910
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP132673 Issued in TX
Practice address
4700 Little Rd
Arlington, TX 76017-1058
Phone
(832) 445-4777
Fax
(888) 635-4503
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP132673 TX
Primary Care Nurse Practitioner 363LP2300X AP132673 TX Primary

Addresses

Primary practice location

4700 Little Rd
Arlington, TX 76017-1058

Mailing address

4700 Little Rd
Arlington, TX 76017-1058
Phone (832) 445-4777

Other practice location 1

3201 S Loop 256
Palestine, TX 75801-6901
Phone (903) 723-8800

Other practice location 2

2115 S Broadway Ave
Tyler, TX 75701-4214
Phone (903) 907-7002

Other practice location 3

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 589-7017

Other practice location 4

1505 State Highway 19 S
Athens, TX 75751-8950
Phone (903) 675-1725

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
I20210819001813 TX Practitioner - Nurse Practitioner 4587915913 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 18, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 18, 2023 Accepting new patients

Locations

1505 State Highway 19 S
Athens, TX 75751
Phone (903) 675-1725

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: bmatzke270561@christushealth.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1497290910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171058",
            "telephone_number": "832-445-4777",
            "fax_number": "888-635-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171058",
            "telephone_number": "832-445-4777",
            "fax_number": "888-635-4503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 S Loop 256",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758016901",
            "country_code": "US",
            "telephone_number": "903-723-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757014214",
            "country_code": "US",
            "telephone_number": "903-907-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-589-7017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 State Highway 19 S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757518950",
            "country_code": "US",
            "telephone_number": "903-675-1725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATZKE",
        "first_name": "BRENDA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132673",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP132673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.