Penny Marie Matthews, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18979 Issued in TN

Practice address

883 Union St
Shelbyville, TN 37160-2607

Phone

(931) 685-1145

NPI assigned

Jul 30, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Rockvale Family Practice, LLC

  • Family Nurse Practitioner
  • Rockvale, TN
  • NPI 1326578147
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629486923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 MAXWELL CHAPEL RD",
            "city": "UNIONVILLE",
            "state": "TN",
            "postal_code": "371808588",
            "telephone_number": "931-224-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 UNION ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602607",
            "telephone_number": "931-685-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 Highway 99",
            "address_purpose": "LOCATION",
            "city": "Rockvale",
            "state": "TN",
            "postal_code": "371534137",
            "country_code": "US",
            "telephone_number": "931-224-2973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "PENNY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN18979",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Thomas Martin, D.D.S.
• Robert Timothy Martin
• Marvin C Koonce DDS PC
• Marvo C. Odds, DDS, P.C.
• Jessica Renea Massingille
• Kelly Lynn Mattingly
• Francietta Darice Mayberry, C.N.A.
• Thomas Brian McAfee, DPH
• Kristin McBay, NP-C
• Esther McConkey

• Family Nurse Practitioner in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.