Individual provider Active NPI

Matthew Brian Clark, APRN, FNP-C

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1942060355
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4017497 Issued in KY
Practice address
521 Robinbrooke Blvd
Elizabethtown, KY 42701-5904
Phone
(270) 979-6944
Fax
(270) 979-5778
NPI assigned
Mar 21, 2024
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 4017497 KY Primary

Addresses

Primary practice location

521 Robinbrooke Blvd
Elizabethtown, KY 42701-5904

Mailing address

521 Robinbrooke Blvd
Elizabethtown, KY 42701-5904
Phone (270) 979-6944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240510001972 KY Practitioner - Nurse Practitioner 7618318429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

110 Layman LN
Elizabethtown, KY 42701-2523
Phone (270) 706-6944

145 Lincoln Dr
Hodgenville, KY 42748-9706
Phone (270) 979-3241

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4017497KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Dec 20, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

3615 E John Rowan Blvd
Ste 203
Bardstown, KY 40004
Phone (502) 337-6815

96 Future Dr
Corbin, KY 40701

110 Layman Ln
Elizabethtown, KY 42701
Phone (270) 706-5787

521 Robinbrooke Blvd
Elizabethtown, KY 42701
Phone (270) 706-1535

145 Lincoln Dr
Hodgenville, KY 42748
Phone (270) 324-3241

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1942060355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ROBINBROOKE BLVD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015904",
            "telephone_number": "270-979-6944",
            "fax_number": "270-979-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROBINBROOKE BLVD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015904",
            "telephone_number": "270-979-6944",
            "fax_number": "270-979-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4017497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.