Individual provider Active NPI

Matthew Hillis, APRN

  • Family Nurse Practitioner
  • Guthrie, OK
National Provider Identifier
1871184911
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0117364 Issued in OK
Practice address
3077 E College Ave
Guthrie, OK 73044-8065
Phone
(405) 282-3898
NPI assigned
Feb 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0117364 OK Primary

Addresses

Primary practice location

3077 E College Ave
Guthrie, OK 73044-8065

Mailing address

3077 E College Ave
Guthrie, OK 73044-8065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20220128001105 OK Practitioner - Nurse Practitioner 0143612929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adult Gastroenterology Associates IncGroup PAC ID 0840223921, 15 clinicians

Practice addresses (Care Compare)

4200 E Skelly Dr
Suite 700
Tulsa, OK 74135-3256
Phone (918) 438-7050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
75.14
Promoting interoperability
98
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
73.2
Promoting interoperability
100
Improvement activities
40
Cost
79.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Gastroenterology Associates Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979

4200 E Skelly Dr
Ste 100
Tulsa, OK 74135
Phone (918) 728-6010

4200 E Skelly Dr
Ste 700
Tulsa, OK 74135
Phone (918) 438-7050

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1871184911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 E COLLEGE AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 E COLLEGE AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448065",
            "telephone_number": "405-282-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIS",
        "first_name": "MATTHEW",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0117364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.