Individual provider Active NPI

Matthew Robert Mullen, FNP-C

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1528449626
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP128329 Issued in TX
Practice address
5306 Downs Dr
Austin, TX 78721-2206
Phone
(210) 663-1622
NPI assigned
Jun 15, 2015
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930001624 TX Practitioner - Nurse Practitioner 3072821719 Reassigns benefits to 2 organizations

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
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

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

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC CurrentSince May 3, 2020 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Aug 1, 2015 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.

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

Verify at the official NPI Registry.