Matthew Tyler, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-130779 Issued in AL

Practice address

218 Main Street
Fulton, AL 36446-0065

Phone

(334) 636-4823

NPI assigned

Sep 23, 2016

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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 AL

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

University of Alabama School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Care of ClarkeGroup PAC ID 2961809736, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Selma Home health agency, Selma, AL, CCN 017320
• Grove Hill Memorial Hospital Hospital, Grove Hill, AL, CCN 010091
• Grove Hill Memorial Hospital Hospital, Grove Hill, AL, CCN 010783

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthewtyler@huey.kidd.directbygreenway.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.

• Physicians Care of Clarke

  • Federally Qualified Health Center (FQHC)
  • Butler, AL
  • NPI 1801502265
  Medicare reassignment Care Compare group NPD
• Physicians Care of Clarke

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1548937923
  NPD
• Physicians Care of Clarke

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1649863630
  NPD (past)

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

• Amedisys Alabama, LLC

  dba Amedisys Home Health of Selma

  • Home Health Agency
  • Selma, AL
  • NPI 1033177332
  Care Compare affiliation
• Grove Hill Memorial Hospital, Inc

  • General Acute Care Hospital
  • Grove Hill, AL
  • NPI 1386694487
  Care Compare affiliation

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1881143402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24B CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261770",
            "telephone_number": "334-882-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAIN STREET",
            "city": "FULTON",
            "state": "AL",
            "postal_code": "364460065",
            "telephone_number": "334-636-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "MATTHEW",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-130779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grove Hill Memorial Hospital,Inc (Fulton Healthcare clinic)
• Huey R Kidd DO PC (Fulton Family Medical)
• Gloria Jean McClain, NP-C
• Kelly Lisenbe Paparella, FNP-BC
• Physicians Care of Clarke

• Nurse Practitioner in Fulton, AL
• Providers in Fulton, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.