Active NPI
Matthew Schulke, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kyle, TX
National Provider Identifier
1861908576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1175658
- Practice address
- 1300 Dacy LN Ste 120-130
Kyle, TX 78640-4192 - Phone
- (512) 392-8953
- Fax
- (512) 262-7505
- NPI assigned
- Dec 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 899253 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1175658 | TX | Primary |
Addresses
Primary practice location
1300 Dacy LN Ste 120-130
Kyle, TX 78640-4192
Mailing address
819 Water St
Kerrville, TX 78028-5333
Phone (830) 792-7505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 Dacy LN
Suite 120
Kyle, TX 78640-4194
Phone (844) 327-1274
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 899253 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community MHMR Center | Current | Accepting new patients |
Locations
819 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 258-5430
1300 Dacy Ln
Ste 120
Kyle, TX 78640
Phone (512) 392-8953
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Kerrville, TX
- NPI 1841304201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1861908576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 WATER ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285333",
"telephone_number": "830-792-7505",
"fax_number": "830-792-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 DACY LN STE 120-130",
"city": "KYLE",
"state": "TX",
"postal_code": "786404192",
"telephone_number": "512-392-8953",
"fax_number": "512-262-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULKE",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-18",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "899253",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1175658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.