SUSAN LYNN MATTHEW ANP NPI 1891031316

NPI Information

  • NPI: 1891031316
  • Provider Name: SUSAN LYNN MATTHEW, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 855 MONTGOMERY ST
    FORT WORTH, TX
    ZIP 76107
  • Phone: (817) 735-0502

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NPI Details

Susan Lynn Matthew, ANP is an adult health nurse practitioner in Fort Worth, TX with 14 years of experience. Susan Lynn Matthew, ANP NPI is 1891031316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107-553
Phone: (817) 735-0502

The NPI 1891031316 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)

The enumeration date for this NPI number is 1/2/2013 and was last updated on 7/14/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner559909TEXASNo
2363LA2200XNurse PractitionerAdult Health559909TEXASYes
3363LG0600XNurse PractitionerGerontology559909TEXASNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1272252YPF6MEDICARE PINTEXAS
2321912304MEDICAIDTEXAS
38565NQOTHERTEXASBCBS
4321912302MEDICAIDTEXAS
5272252YS0QMEDICARE PINTEXAS
68574NMOTHERTEXASBCBS

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: 11/21/2025

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