Kelly Eleanor Marie Matthews, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8991 Issued in AZ

Practice address

3638 E Southern Ave Ste C101
Mesa, AZ 85206-2563

Phone

(480) 564-3763

Fax

(480) 716-3723

NPI assigned

Sep 21, 2016

Last updated

Jan 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Arizona Medical Associates PCGroup PAC ID 7416932389, 12 clinicians

Arizona Gastrointestinal Associates PLCGroup PAC ID 6901054014, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kelly.richmondnp.p1@direct.camavmed.nextgenshare.com

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.

• Arizona Gastrointestinal Associates, PLC

  • Gastroenterology Physician
  • Phoenix, AZ
  • NPI 1356609002
  Medicare reassignment Care Compare group NPD
• Central Arizona Medical Associates PC

  • Adult Medicine Physician
  • Mesa, AZ
  • NPI 1659487833
  Medicare reassignment Care Compare group NPD
• Central Arizona Gastroenterology PC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1093518995
  NPD

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1861941619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE STE C101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062563",
            "telephone_number": "480-564-3763",
            "fax_number": "480-716-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE STE C101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062563",
            "telephone_number": "480-564-3763",
            "fax_number": "480-716-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KELLY",
        "middle_name": "ELEANOR MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP8991",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen L Matta, CRNA
• Douglas Robert Matter, RPH
• Mark J. Mattern, M.D.
• Andre Charles Matthews, M.D.
• Brianna Mary Matthews, DO
• Nathan Matthews, D.O.
• Peter J Matthews, M.D.
• Sicily Mattice, RBT
• Laura Lynn Mattis, PT, DPT
• Joseph Mattison, FNP-C

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.