Individual provider Active NPI

Matthew Orlando Oxiles, ARNP

  • Family Nurse Practitioner
  • Battle Ground, WA
National Provider Identifier
1801031737
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2008034308 Issued in MO
Practice address
18 NW 20TH Ave
Suite 101
Battle Ground, WA 98604-4175
Phone
(360) 952-4457
Fax
(360) 828-7409
NPI assigned
Dec 5, 2008
Last updated
May 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 2008034308 MO Primary

Addresses

Primary practice location

18 NW 20TH Ave
Suite 101
Battle Ground, WA 98604-4175

Mailing address

18 NW 20TH Ave
Suite 101
Battle Ground, WA 98604-4175
Phone (360) 952-4457

Other identifiers 1

IdentifierTypeStateIssuer
1801031737MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120815000479 WA Practitioner - Nurse Practitioner 9739238643 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Medical, PS CurrentSince Jan 7, 2019 Accepting new patients

Locations

900 NE 139th St
Ste 202
Vancouver, WA 98685
Phone (360) 566-9355

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1801031737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NW 20TH AVE",
            "address_2": "SUITE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044175",
            "telephone_number": "360-952-4457",
            "fax_number": "360-828-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NW 20TH AVE",
            "address_2": "SUITE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044175",
            "telephone_number": "360-952-4457",
            "fax_number": "360-828-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXILES",
        "first_name": "MATTHEW",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2008034308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801031737",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

Verify at the official NPI Registry.