Individual provider Active NPI

Macey Leigh Matthews, APRN

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1649000415
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36513 Issued in TN
Practice address
107 Glen Oak Blvd Ste 202
Hendersonville, TN 37075-3181
Phone
(615) 826-0710
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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 36513 TN Primary

Addresses

Primary practice location

107 Glen Oak Blvd Ste 202
Hendersonville, TN 37075-3181

Mailing address

107 Glen Oak Blvd Ste 202
Hendersonville, TN 37075-3181
Phone (615) 826-0710

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260123000046 TN Practitioner - Nurse Practitioner 4789170663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Hepatology Associates, PLLCGroup PAC ID 0749384212, 6 clinicians

Practice addresses (Care Compare)

107 Glen Oak Blvd
Suite 202
Hendersonville, TN 37075-3000
Phone (615) 826-0710

Hospital & facility affiliations

  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36513TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology Associates PLLC CurrentSince Dec 30, 2025 Accepting new patients
Gastroenterology and Hepatology Associates PastSince Aug 11, 2024 Accepting new patients

Locations

353 New Shackle Island Rd
Ste 249C
Hendersonville, TN 37075
Phone (615) 757-4275

107 Glen Oak Blvd
Ste 202
Hendersonvlle, TN 37075
Phone (615) 325-1215

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDABAA

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1649000415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLEN OAK BLVD STE 202",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753181",
            "telephone_number": "615-826-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLEN OAK BLVD STE 202",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753181",
            "telephone_number": "615-826-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MACEY",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.