Individual provider Active NPI

Susan Lynn Matthew, ANP

  • Adult Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1891031316
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
559909 Issued in TX
Practice address
4545 Fuller Dr Ste 325
Irving, TX 75038-6530
Phone
(972) 870-5511
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 559909 TX Primary
Nurse Practitioner 363L00000X 559909 TX
Gerontology Nurse Practitioner 363LG0600X 559909 TX

Addresses

Primary practice location

4545 Fuller Dr Ste 325
Irving, TX 75038-6530

Mailing address

PO Box 40411
Belfast, ME 04915-1255
Phone (972) 870-5511

Other practice location 1

855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-0502

Other identifiers 4

IdentifierTypeStateIssuer
321912302MedicaidTX
8565NQOtherTXBCBS
321912304MedicaidTX
8574NMOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130404000146 TX Practitioner - Nurse Practitioner 5294970752 Reassigns benefits to 2 organizations
I20250909003388 WA Practitioner - Nurse Practitioner 5294970752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seva Medical PLLCGroup PAC ID 0547621708, 28 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (888) 637-9669

2520 Madison St
Everett, WA 98203-4868
Phone (425) 353-4040

Hospital & facility affiliations

  • Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
  • Providence at Home With Compassus Home Health, King Home health agency, Tukwila, WA, CCN 507068
  • Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
  • Kline Galland Home Health Home health agency, Seattle, WA, CCN 507121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
Post Acute Medical PLLC CurrentSince Jun 23, 2025 Accepting new patients
University of North Texas Health Science Center at Fort Worth Nurse Practitioner Current Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 11, 2013 Accepting new patients
University of North Texas Health Science Center at Fort Worth Nurse Practitioner CurrentSince Jan 5, 2015 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 11, 2013 Accepting new patients
University of North Texas Health Science Center at Fort Worth Nurse Practitioner Current Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Seva Medical, PLLC CurrentSince Oct 1, 2025 Accepting new patients
University of North Texas Health Science Center at Fort Worth CurrentSince Jan 5, 2015 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

7800 Shoal Creek Blvd
Ste 118W
Austin, TX 78757
Phone (512) 374-0700

1301 W 7th St
Ste 121
Ft Worth, TX 76102
Phone (817) 348-0425

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

3500 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 735-2000

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

2520 Madison St
Everett, WA 98203
Phone (425) 353-4040

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 10

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 4

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1891031316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40411",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "972-870-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR STE 325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530",
            "telephone_number": "972-870-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Montgomery St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761072553",
            "country_code": "US",
            "telephone_number": "817-735-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "559909",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "559909",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "559909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321912302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8565NQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321912304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8574NM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.