MATTHEW THOMAS ANDERSON (FNP-C) – Primary Care Nurse Practitioner, NPI 1083108872

MATTHEW THOMAS ANDERSON (FNP-C) is a healthcare provider. based in Taylorsville, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 8695316-4405 (UT). The NPI Number for MATTHEW THOMAS ANDERSON (FNP-C) is 1083108872

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW THOMAS ANDERSON (FNP-C)
NPI
1083108872
Phone
(801) 243-2044
Address
1957 W 5315 S
Enumeration Date
15 June 2018
Last Update Date
15 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019969720
Graduation Year
2018 (8 years ago)
PAC ID
2466794300
Group Practice PAC ID
7113326208
Professional Enrollment ID
I20190425001238
Address ID
UT840951283SO3537X1140300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for MATTHEW THOMAS ANDERSON (FNP-C)

  • 1957, 5315 South, Taylorsville, Salt Lake County, Utah, 84129, United States

    TAYLORSVILLE, UT 841291353

    Phone: (801) 243-2044

    Type: Mailing

  • Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84412, United States

    SALT LAKE CITY, UT 841131125

    Phone: (801) 213-7628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Abbott Laboratories ($39).

Total Amount

$97

General + Research + Ownership

Payments

3

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-04-25

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
I20190425001238INurse PractitionerUTTBD

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 84129)

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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: 7113326208View full group profile
NameSpecialtyState
Physician AssistantUT
Family PracticeMO
Physician AssistantMI
Family PracticeUT
Nurse PractitionerUT
Physician AssistantUT
Family PracticeUT
Emergency MedicineUT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for MATTHEW THOMAS ANDERSON (FNP-C)?
MATTHEW THOMAS ANDERSON (FNP-C) — NPI 1083108872 — is the standard way to identify this listing.
Is MATTHEW THOMAS ANDERSON (FNP-C) listed as active for patients and plans?
The listing shows MATTHEW THOMAS ANDERSON (FNP-C) as active in the NPI system.
What taxonomy line describes MATTHEW THOMAS ANDERSON (FNP-C)?
For research purposes, treat MATTHEW THOMAS ANDERSON (FNP-C) as Primary Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MATTHEW THOMAS ANDERSON (FNP-C) on a map?
Expect Taylorsville, Utah as a primary anchor for MATTHEW THOMAS ANDERSON (FNP-C) unless the record lists multiple sites.
Why does MATTHEW THOMAS ANDERSON (FNP-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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