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MATTHEW GILKEY FNP
NPI 1093258964
Nurse Practitioner - Family in Flagstaff, AZ

Active since November 28, 2016PECOS EnrolledAccepts Medicare Assignment
1515 E CEDAR AVE STE C-1, FLAGSTAFF, AZ 86004(928) 224-9138(928) 272-0112 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2022, May 10, 2017 (2 updates tracked since 2017).

About Matthew Gilkey Fnp NPPES

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

MATTHEW GILKEY FNP (NPI 1093258964) is an individual family provider in Flagstaff, Arizona, licensed in Arizona (AP9689) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093258964
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW GILKEYCredential: FNP
Location Address1515 E CEDAR AVE STE C-1Flagstaff, AZ 86004-1637
Mailing Address1515 E Cedar Ave Ste C-1Flagstaff, AZ 86004-1637 · (928) 224-9138 · Fax (928) 272-0112
Phone(928) 224-9138
Fax(928) 272-0112
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 28, 2016
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1093258964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP9689
1515 E CEDAR AVE STE C-1, Flagstaff, AZ 86004
Open in Google Maps ↗

Secondary Practice Location 1

Location 1630 N Alvernon Way Ste 251Tucson, AZ 85711-1879 · Phone (520) 322-8460 · Fax (520) 323-5742

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Gilkey Fnp 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 ID6204117369
PECOS Enrollment IDI20170103001524
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Gilkey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gilkey Family Care PLLC
Same address
Family
1515 E CEDAR AVE STE C-1
Flagstaff, AZ 86004
  • Reassigned Medicare billing, Arizona enrollment
NPI 1548995723 (928) 224-9138

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
237 services81 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
142 services89 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
92 services53 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
53 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

HARPER AVERY METZ FNP
Nurse Practitioner (Family)
1515 E CEDAR AVE STE C-1
FLAGSTAFF, AZ 86004
Coconino County (928) 773-9714
GILKEY FAMILY CARE PLLC
Nurse Practitioner (Family)
1515 E CEDAR AVE STE C-1
FLAGSTAFF, AZ 86004
Coconino County (928) 224-9138
MELISSA HAKES FNP
Nurse Practitioner (Family)
1515 E CEDAR AVE STE C-1
FLAGSTAFF, AZ 86004
Coconino County (928) 773-9714
FOUR PEAKS HEALTH CARE ASSOCIATES PLLC
Clinic/Center (Primary Care)
1515 E CEDAR AVE STE C-1
FLAGSTAFF, AZ 86004
Coconino County (928) 773-9714

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 Gilkey's NPI number?

The NPI number for Matthew Gilkey is 1093258964. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Matthew Gilkey located?

Matthew Gilkey practices at 1515 E Cedar Ave Ste C-1, Flagstaff, AZ 86004. The listed phone number is (928) 224-9138.

What is Matthew Gilkey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Gilkey enrolled in Medicare?

Yes. Matthew Gilkey 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.

Which organization bills Medicare for Matthew Gilkey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Gilkey reassigns Medicare benefits to Gilkey Family Care PLLC (Flagstaff, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Gilkey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Gilkey accept?

Health plans from Blue Cross Blue Shield of Arizona list Matthew Gilkey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Gilkey was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.