Active NPI
Susan Lynn Matthew, ANP
- Adult Health Nurse Practitioner
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 559909
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321912302 | Medicaid | TX | |
| 8565NQ | Other | TX | BCBS |
| 321912304 | Medicaid | TX | |
| 8574NM | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Providence at Home With Compassus Home Health, King
- Evergreenhealth Home Care Services
- Kline Galland Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | 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 | |
| University of North Texas Health Science Center at Fort Worth | Nurse Practitioner | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | 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 | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1679264014
-
- Neuromusculoskeletal Medicine & OMM Physician
- Fort Worth, TX
- NPI 1376645564
-
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1053416289
Nurse Practitioner
-
- Family Medicine Physician
- Dallas, TX
- NPI 1639843790
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1659473056
Nurse Practitioner
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1699870998
Nurse Practitioner
-
- Family Medicine Physician
- Houston, TX
- NPI 1093753907
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Seattle, WA
- NPI 1548513252
-
- Home Health Agency
- Tukwila, WA
- NPI 1972325983
-
- Home Health Agency
- Kirkland, WA
- NPI 1588662761
-
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1770998528
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.