Active NPI
Matthew Alan Daniel, APRN
- Family Nurse Practitioner
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-79858-071
- Practice address
- 4061 Indian Creek Pkwy
Overland Park, KS 66207-4030 - Phone
- (913) 317-7990
- Fax
- (913) 317-7018
- NPI assigned
- Dec 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5089 | OR | |
| Acute Care Nurse Practitioner | 363LA2100X | 53-79858-071 | KS | |
| Family Nurse Practitioner | 363LF0000X | 53-79858-071 | KS | Primary |
Addresses
Primary practice location
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Mailing address
10995 Quivira Rd
Overland Park, KS 66210-1207
Phone (913) 339-9437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (913) 323-4600
4321 Washington
3000 Saint Luke'S Internal Medicine
Kansas City, MO 64111-5928
Phone (816) 932-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5089 | OR | MD | Chiropractor |
| 53-79858-071 | KS | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | Accepting new patients | |
| Kansas Pain Management | Current | Accepting new patients |
Locations
4100 W 6th St
Lawrence, KS 66049
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
10995 Quivira Rd
Overland Park, KS 66210
Phone (913) 685-2211
10995 Quivira Rd
Ofc
Overland Park, KS 66210
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
4061 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 323-4600
901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- mdaniel623445@direct.saint-lukes.org
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.
-
- Pain Medicine (Anesthesiology) Physician
- Roeland Park, KS
- NPI 1881347276
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1053353490
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1851636732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10995 QUIVIRA RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101207",
"telephone_number": "913-339-9437",
"fax_number": "913-339-9538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 INDIAN CREEK PKWY",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662074030",
"telephone_number": "913-317-7990",
"fax_number": "913-317-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-04",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5089",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KS",
"license": "53-79858-071",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-79858-071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.