Matthew J Moody, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

55193 Issued in NM

Practice address

7301 Jefferson St NE Ste G
Albuquerque, NM 87109-4363

Phone

(505) 922-9800

Fax

(505) 508-5284

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Mexico Center for Pain and Wellness, LLCGroup PAC ID 7214391366, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• New Mexico Center for Pain and Wellness, LLC

  • Pain Medicine Physician
  • Albuquerque, NM
  • NPI 1033803143
  Medicare reassignment Care Compare group NPD
• Colorado Center for Pain and Wellness, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
  • NPI 1033918131
  NPD
• Functional Family Medicine

  • Family Health Clinical Nurse Specialist
  • Albuquerque, NM
  • NPI 1932509403
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1851097208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 STATE HIGHWAY 14",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081530",
            "telephone_number": "505-827-8535",
            "fax_number": "505-508-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 JEFFERSON ST NE STE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094363",
            "telephone_number": "505-922-9800",
            "fax_number": "505-508-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "55193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Monzones
• Aries Najahma Moody
• Emily Evonne Moody, M.D.
• Erin C Moody, OTRL
• Irene June Moody, M.D.
• Buick Moomchi, PH.D.
• Moon Drop Therapy LLC
• Edith Moon
• Mary Tagish Moon
• Charles M Mooney

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.

Verify at the official NPI Registry.