1. Home
  2. Directory
  3. New Mexico
  4. Las Vegas
  5. Physician Assistant
  6. NPI Profile

MR. MATTHEW D. PROBST PA-C
NPI 1053305474
Physician Assistant - Medical in Las Vegas, NM

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
2020 7TH ST, LAS VEGAS, NM 87701(505) 434-0119(877) 553-1272 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Matthew D. Probst Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MATTHEW D. PROBST PA-C (NPI 1053305474) is an individual medical provider in Las Vegas, New Mexico, licensed in New Mexico (PA2003-0043) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053305474
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MATTHEW D. PROBSTCredential: PA-C
Location Address2020 7TH STLas Vegas, NM 87701-4958
Mailing Address117 Camino De Vida Ste 300Santa Rosa, NM 88435-2267 · (575) 472-4311 · Fax (877) 651-0289
Phone(505) 434-0119
Fax(877) 553-1272
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 31, 2005
Last NPPES UpdateFebruary 23, 2023
NPPES CertifiedFebruary 23, 2023
✔ NPI 1053305474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NM · PA2003-0043
2020 7TH ST, Las Vegas, NM 87701
Open in Google Maps ↗

Other Identifiers 2

Medicaid60950277NM
OtherNM400319NM · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Matthew D. Probst Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890825913
PECOS Enrollment IDI20100615000804
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAS VEGAS PRIMARY CARE, INC
Family Medicine
2020 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 425-6731
SUNRISE CLINICS
Clinic/Center (Federally Qualified Health Center (FQHC))
2020 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 587-1050
MONICA T VILLA LCSW
Social Worker
2020 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 330-0830
MRS. ISABEL CAVAZOS LMSW
Social Worker
2020 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 587-1050
MARIE YVETTE GARCIA LMSW
Social Worker
2020 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 587-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Probst's NPI number?

The NPI number for Matthew Probst is 1053305474. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Matthew Probst located?

Matthew Probst practices at 2020 7th St, Las Vegas, NM 87701. The listed phone number is (505) 434-0119.

What is Matthew Probst's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Matthew Probst enrolled in Medicare?

Yes. Matthew Probst is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matthew Probst was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.