Active NPI
Matthew Ryan Nelson, APRN
- Nurse Practitioner
- Orem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8350156-4405
- Practice address
- 1974 N 540 E
Orem, UT 84097-2360 - Phone
- (801) 615-1716
- NPI assigned
- Aug 28, 2018
- Last updated
- Apr 23, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8350156-4405 | UT | Primary |
Addresses
Primary practice location
1974 N 540 E
Orem, UT 84097-2360
Mailing address
1974 N 540 E
Orem, UT 84097-2360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801377767 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
395 W Bulldog Blvd
Suite 205
Provo, UT 84604-3328
Phone (801) 357-1770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8350156-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Utah Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Emergency Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
98 N 1100 E
Ste 101
Highland, UT 84003
Phone (801) 492-2273
201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000
1975 N State St
Orem, UT 84057
Phone (801) 714-5000
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
395 W Cougar Blvd
Ste 205
Provo, UT 84604
Phone (801) 357-1770
3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417
354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
Family Medicine
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1588048979
-
dba Delta Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Delta, UT
- NPI 1760429302
Emergency Medicine
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1801377767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1974 N 540 E",
"city": "OREM",
"state": "UT",
"postal_code": "840972360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1974 N 540 E",
"city": "OREM",
"state": "UT",
"postal_code": "840972360",
"telephone_number": "801-615-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-28",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "8350156-4405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801377767",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.