Susan B Matthews, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3002835 Issued in KY

Practice address

1621 N Main St
Beaver Dam, KY 42320-8963

Phone

(270) 274-9222

Fax

(270) 274-0696

NPI assigned

Aug 11, 2005

Reactivated

Apr 6, 2006

Last updated

Nov 28, 2019By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anchorage Community Mental Health Services IncGroup PAC ID 1052213089, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Anchorage Community Mental Health Services Inc.

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1326268301
  Medicare reassignment Care Compare group NPD
• Bright Futures Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1982182317
  NPD Authorized official
• Bluegrass Regional Healthcare

  • Family Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1609994789
  Authorized official Same address or phone
• Ohio County Hospital Corporation

  dba Ohio County Surgical Care

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Healthcare Gastroenterology

  • Gastroenterology Physician
  • Owensboro, KY
  • NPI 1437961828
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Healthcare Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaver Dam, KY
  • NPI 1740953603
  NPD
• Anchorage Community Mental Health Services Inc.

  dba Alaska Behavioral Health

  • Primary Care Nurse Practitioner
  • Wasilla, AK
  • NPI 1518673995
  NPD
• Anchorage Community Mental Health Services, Inc

  dba Alaska Behavioral Health

  • Primary Care Nurse Practitioner
  • Fairbanks, AK
  • NPI 1083431688
  NPD

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574899200000",
    "number": "1922000736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208963",
            "telephone_number": "270-274-9222",
            "fax_number": "270-274-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208963",
            "telephone_number": "270-274-9222",
            "fax_number": "270-274-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-11-28",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2835P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002835",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "P2271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000263813",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78006764",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J.Dylan James, DPT
• Bridget Colette Johnson, ARNP
• Kelsey Diane Johnson, D.M.D.
• Kentucky Medical Care
• Tariq K Malik, M.D.
• Brian Mayes, PHARM.D, BCACP
• Samantha Mayes, PT
• Brittney McCarthy
• Amber McCree
• Midtown Pharmacy Express, LLC

• Family Nurse Practitioner in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2019; 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.