Individual provider Active NPI

Matthew Walters, APRN, CNP

  • Family Nurse Practitioner
  • Rochester, MN
National Provider Identifier
1639555824
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 4070 Issued in MN
Practice address
1650 4TH St SE
Rochester, MN 55904-4717
Phone
(507) 529-6600
NPI assigned
Aug 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP 4070 MN Primary

Addresses

Primary practice location

1650 4TH St SE
Rochester, MN 55904-4717

Mailing address

1650 4TH St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150917001661 MN Practitioner - Nurse Practitioner 1355658766 Reassigns benefits to 1 organization

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
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP 4070MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olmsted Medical Center CurrentSince Aug 31, 2015 Accepting new patients
Ladd Memorial Hospital Past Accepting new patients
Olmsted Medical Center Past Accepting new patients

Locations

846 High Point Dr NE
Byron, MN 55920
Phone (507) 775-2128

1705 N Highway 20
Cannon Falls, MN 55009
Phone (507) 263-4900

207 Twiford St SW
Chatfield, MN 55923
Phone (507) 867-4901

507 W Doughty St
Lake City, MN 55041
Phone (651) 345-2350

111 County Road 11 NW
Pine Island, MN 55963
Phone (507) 356-2476

20 2nd Ave NE
Plainview, MN 55964
Phone (507) 534-3885

405 Kansas St NW
Preston, MN 55965
Phone (507) 765-5324

1544 Greenview Dr SW
Rochester, MN 55902
Phone (507) 287-2711

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

5067 55th St NW
Rochester, MN 55901
Phone (507) 292-7070

5155 55th St NW
Rochester, MN 55901
Phone (507) 292-7174

4303 Highway 52 N
Rochester, MN 55901
Phone (507) 287-2714

132 17th Ave NW
Ste 132
Rochester, MN 55901
Phone (507) 292-7411

318 1st Ave SW
Ste 203
Rochester, MN 55902
Phone (507) 292-7250

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

403 W 4th St
Saint Charles, MN 55972
Phone (507) 534-3885

802 Memorial Dr
Spring Valley, MN 55975
Phone (507) 346-7373

208 Ctr Town Plz N
Stewartville, MN 55976
Phone (507) 533-4727

Interoperability endpoints

  • Direct secure messaging: mwalters9373@direct.olmmed.org

Organizations & group practices 3

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1639555824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 4TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044717",
            "telephone_number": "507-529-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 4TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044717",
            "telephone_number": "507-529-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MATTHEW",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.