Matthew Brent Talley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12935592-4405 Issued in UT

Practice address

3665 S 8400 W Ste 110
Magna, UT 84044-4907

Phone

(801) 250-9638

NPI assigned

Jul 20, 2022

Last updated

Oct 19, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, NC2 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southland Union Emergency Medical Services, LLCGroup PAC ID 8224308770, 26 clinicians

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.86 of 100Reported as group

Quality

86.1

Improvement activities

40

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.

• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  NC, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Southland Union Emergency Medical Services, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Blairsville, GA
  • NPI 1164954715
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  NC, Nurse Practitioner

  Medicare reassignment NPD
• Sylva Emergency Group LLC

  • Emergency Medicine Physician
  • Sylva, NC
  • NPI 1669808143

  Nurse Practitioner

  Medicare reassignment NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1952036261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 W PIONEER PKWY STE 100",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202059",
            "telephone_number": "801-250-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W STE 110",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444907",
            "telephone_number": "801-250-9638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925473",
            "country_code": "US",
            "telephone_number": "229-236-0831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "MATTHEW",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN278964",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12935592-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solutions for Home Health and Hospice (Wasatch Hospice)
• Steven J Spencer, MD
• Sarala Subedi
• Swenson Chiropractic LLC
• Joseph Swenson, DC
• Nicholas R Taylor, PHARMD
• Olivia Megan Tevaga
• Amy Thomas
• Scott Edward Thompson, PA-C
• Amy Thorsen, FNP

• Family Nurse Practitioner in Magna, UT
• Providers in Magna, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.