Kelly Matthews, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1024857 Issued in TX

Practice address

103 W 11TH St
Big Spring, TX 79720-2913

Phone

(432) 517-4557

Fax

(432) 400-1406

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1568046431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FM 300",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366235",
            "telephone_number": "806-894-7842",
            "fax_number": "806-300-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 11TH ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202913",
            "telephone_number": "432-517-4557",
            "fax_number": "432-400-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KELLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1024857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Marlar, LMFT
• Jesse M Marquez, LCDC
• John Marshall, O.D.
• Mary Alice Martinez
• Barbara Louis Matthews, PHD
• Elvin Edward Maxwell, PA-C
• Andrea Niccole Mayberry, MSW
• Hope Anntoinette Mayo, MSN, RN, CCRN
• Lynn A McCormick
• McDaniel Clinic, P. a.

• Family Nurse Practitioner in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.