Active NPI
Matthew Robert Mullen, FNP-C
- Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP128329
- Practice address
- 5306 Downs Dr
Austin, TX 78721-2206 - Phone
- (210) 663-1622
- NPI assigned
- Jun 15, 2015
- Last updated
- Apr 29, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP128329 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | AP128329 | TX | |
| Registered Nurse | 163W00000X | 766565 | TX |
Addresses
Primary practice location
5306 Downs Dr
Austin, TX 78721-2206
Mailing address
4303 Victory Dr
Austin, TX 78704-7507
Phone (512) 462-3627
Other practice location 1
901 W Ben White Blvd
Austin, TX 78704-6903
Phone (925) 924-1600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
919 E 32ND St
St David's Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Emergency Partners LLC | Current | Accepting new patients | |
| Longhorn Emergency Medical Associates PA | Nurse Practitioner | Current | Accepting new patients |
Locations
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
Nurse Practitioner
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1528449626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4303 VICTORY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047507",
"telephone_number": "512-462-3627",
"fax_number": "512-462-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 DOWNS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787212206",
"telephone_number": "210-663-1622"
}
],
"practiceLocations": [
{
"address_1": "901 W Ben White Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787046903",
"country_code": "US",
"telephone_number": "925-924-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLEN",
"first_name": "MATTHEW",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP128329",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP128329",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "766565",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.