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MATTHEW EDWARD FLYNN FNP ACNP NPI 1760618292


NPI Information

NPI: 1760618292
Provider Name: MATTHEW EDWARD FLYNN, FNP, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
971 LAKELAND DR STE 1052
JACKSON, MS
ZIP 39216
Phone: (601) 981-9503
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Matthew Edward Flynn, FNP, ACNP is an acute care nurse practitioner in Jackson, MS with 16 years of experience. Matthew Edward Flynn, FNP, ACNP NPI is 1760618292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

971 LAKELAND DR STE 1052
JACKSON, MS
ZIP 39216-609
Phone: (601) 981-9503
Fax: (601) 982-1198

The NPI 1760618292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 6/10/2009 and was last updated on 10/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyR860587MISSISSIPPINo
2363LA2100XNurse PractitionerAcute CareR860587MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00775214OTHERMISSISSIPPIRAILROAD MEDICARE
27885550OTHERMISSISSIPPICIGNA
3302I502343MEDICARE PINMISSISSIPPI
405156038MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.