MATT ALLRED (FNP) – Family Nurse Practitioner, NPI 1700064789

MATT ALLRED (FNP) is a healthcare provider. based in Atlanta, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 618851 (TX). The NPI Number for MATT ALLRED (FNP) is 1700064789

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MATT ALLRED (FNP)
NPI
1700064789
Phone
(903) 796-2868
Address
1011 S William St
Enumeration Date
1 February 2008
Last Update Date
30 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036065560
Graduation Year
2008 (18 years ago)
PAC ID
4284758079
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20150212001276
Address ID
TX757012041TY630XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MATT ALLRED (FNP)

  • 1011 S William St

    1011 SOUTH WILLIAM STREET

    Atlanta, TX 755513245

    Phone: (903) 796-2868

    Fax: (903) 796-0826

    Type: Location

  • 5002, Cowhorn Creek Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755039766

    Phone: (903) 614-3000

    Fax: (903) 614-3525

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: UCB, Inc. ($130).

Total Amount

$150

General + Research + Ownership

Payments

2

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$130
Organogenesis Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2015-02-12

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
I20150212001276INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes163142$0
99205New patient office or other outpatient visit, 60-74 minutes114114$0
99212Established patient office or other outpatient visit, 10-19 minutes10493$0
99204New patient office or other outpatient visit, 45-59 minutes5555$0
99214Established patient office or other outpatient visit, 30-39 minutes4340$0
View full utilization report →

Insurance plans in this area (ZIP 75551)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX
Internal MedicineTX

Reviews

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Frequently asked questions

How do I look up MATT ALLRED (FNP) by NPI?
Use NPI 1700064789 when you need to reference MATT ALLRED (FNP) in forms, claims, or directories.
Is MATT ALLRED (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MATT ALLRED (FNP) work in?
You can think of MATT ALLRED (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MATT ALLRED (FNP)?
The page summarizes Atlanta, Texas for MATT ALLRED (FNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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