Active NPI
Matthew Wood Cummens, CRNA
- Certified Registered Nurse Anesthetist
- Tahlequah, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0101470
- Practice address
- 100 S Bliss Ave
Tahlequah, OK 74464-2512 - Phone
- (918) 458-3100
- NPI assigned
- Feb 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0101470 | OK | Primary |
Addresses
Primary practice location
100 S Bliss Ave
Tahlequah, OK 74464-2512
Mailing address
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016010580 | Other | MO | NURSING LICENSE |
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Tahlequah, OK
- NPI 1457574170
OK, Single Specialty
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- Land Ambulance
- Tahlequah, OK
- NPI 1588667760
-
- Ambulatory Surgical Clinic/Center
- Tahlequah, OK
- NPI 1669628707
-
- Land Ambulance
- Tahlequah, OK
- NPI 1942947288
-
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
-
- General Practice Physician
- Tahlequah, OK
- NPI 1083947378
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cherokee Nation
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
Hospital & facility affiliations
- Cherokee Nation W W Hastings Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 72.78
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.77
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827001027 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8527396746 | Reassigns benefits to 1 organization |
| I20220404000613 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8527396746 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0101470 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| Tahlequah City Hospital | Current | Accepting new patients | |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
Locations
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1669937793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S BLISS AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744642512",
"telephone_number": "918-458-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S BLISS AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744642512",
"telephone_number": "918-458-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMENS",
"first_name": "MATTHEW",
"middle_name": "WOOD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-03",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0101470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "2016010580",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.