MATTHEW MICHAEL FOX (APRN) – Gerontology Nurse Practitioner, NPI 1245117175

MATTHEW MICHAEL FOX (APRN) is a healthcare provider. based in Wichita, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 13153722052 (KS). The NPI Number for MATTHEW MICHAEL FOX (APRN) is 1245117175

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
MATTHEW MICHAEL FOX (APRN)
NPI
1245117175
Phone
(316) 686-5300
Address
3535 N WEBB RD
Enumeration Date
20 August 2025
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3166865300
Graduation Year
2025 (1 year ago)
PAC ID
5597256115
Group Practice PAC ID
1254646789
Professional Enrollment ID
I20251112000530
Address ID
KS672268127WI3535XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MATTHEW MICHAEL FOX (APRN)

  • 3535 N WEBB RD

    WICHITA, KS 672268127

    Phone: (316) 686-5300

    Fax: (316) 651-2660

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251112000530INurse PractitionerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254646789View full group profile
NameSpecialtyState
-KS
Cardiovascular Disease (Cardiology), Interventional CardiologyKS
Cardiovascular Disease (Cardiology)KS
Cardiovascular Disease (Cardiology)KS
Cardiovascular Disease (Cardiology), Interventional CardiologyKS
-KS
Cardiovascular Disease (Cardiology), Interventional CardiologyWV
Cardiovascular Disease (Cardiology), Internal MedicineKS
-KS
-IL

Reviews

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Frequently asked questions

Can I verify MATTHEW MICHAEL FOX (APRN) with an NPI only?
You can start verification with NPI 1245117175 for MATTHEW MICHAEL FOX (APRN), then check state licensing separately.
Can I rely on MATTHEW MICHAEL FOX (APRN) being an active provider?
As of the registry snapshot, MATTHEW MICHAEL FOX (APRN) is marked active.
What is MATTHEW MICHAEL FOX (APRN) best known for clinically?
Directory data describes MATTHEW MICHAEL FOX (APRN) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MATTHEW MICHAEL FOX (APRN) based?
MATTHEW MICHAEL FOX (APRN) is tied to Wichita, Kansas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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