Matthew Lee Flores, FNP – Family Nurse Practitioner

Key facts

NPI: 1952886863
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: AP138835 (TX)
Practice address: 2504 Xenia St
Plainview, TX 79072-1818
Phone: (806) 291-5145
Fax: (806) 291-5122
NPI assigned: Sep 26, 2018
Sex: Male
Sole proprietor: No

Organizations & group practices 2

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.

Covenant Medical Group Family Medicine Physician · Lubbock, TX · NPI 1376598904

Medicare reassignment NPD TX
Covenant Medical Group Rural Health Clinic/Center · Abernathy, TX · NPI 1538412895

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20181207000562	TX	Practitioner - Nurse Practitioner	5799029310	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
AP138835	TX	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Covenant Medical Group		Current since Dec 1, 2018	Accepting new patients
Covenant Medical Group		Current since Dec 1, 2018	Accepting new patients

Locations

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

2508 Xenia St
Ste 104
Plainview, TX 79072

2504 Xenia St
Plainview, TX 79072
Phone (806) 291-5145

2502 Xenia St
Plainview, TX 79072
Phone (806) 296-7881

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	AP138835	TX	Yes

Addresses

Primary practice location

2504 Xenia St
Plainview, TX 79072-1818

Mailing address

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

Other providers in Plainview, TX

All providers in Plainview, TX · Family Nurse Practitioner in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.