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MATTHEW MICHAEL FOX APRN
NPI 1245117175
Nurse Practitioner - Gerontology in Wichita, KS

Active since August 20, 2025PECOS EnrolledAccepts Medicare Assignment
3535 N WEBB RD, WICHITA, KS 67226(316) 686-5300 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew Michael Fox Aprn NPPES

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

MATTHEW MICHAEL FOX APRN (NPI 1245117175) is an individual gerontology provider in Wichita, Kansas, licensed in Kansas (53-84781-052) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Wesley Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245117175
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMATTHEW MICHAEL FOXCredential: APRN
Location Address3535 N WEBB RDWichita, KS 67226-8127
Mailing Address3535 N Webb RdWichita, KS 67226-8127 · (316) 686-5300 · Fax (316) 651-2660
Phone(316) 686-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 20, 2025
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1245117175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in KS · 53-84781-052
Also ListedRegistered NurseTaxonomy 163W00000X · License 13153722052 (KS)
3535 N WEBB RD, Wichita, KS 67226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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 Michael Fox Aprn 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 ID5597256115
PECOS Enrollment IDI20251112000530
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 Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heartland Cardiology, LLC
Same address
Cardiovascular Disease
3535 N WEBB RD
Wichita, KS 67226
  • Reassigned Medicare billing, Kansas enrollment
  • 42 clinicians in this Medicare group
NPI 1134503840 (316) 686-5300

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67226 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 20

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

LAMANDA K. WEBB ARNP-BC
Nurse Practitioner (Family)
3535 N WEBB RD
WICHITA, KS 67226
Sedgwick County (316) 686-5300
HEARTLAND CARDIOLOGY, LLC
Registered Nurse (Cardiac Rehabilitation)
3535 N WEBB RD
WICHITA, KS 67226
Sedgwick County (316) 686-5300
MAHEEDHAR GEDELA MD
Internal Medicine (Interventional Cardiology)
3535 N WEBB RD
WICHITA, KS 67226
Sedgwick County (316) 686-5300
HEARTLAND CARDIOLOGY, LLC
Internal Medicine (Cardiovascular Disease)
3535 N WEBB RD
WICHITA, KS 67226
Sedgwick County (316) 686-5300
MS. JESSICA RENEE POLLET DNP, APRN
Nurse Practitioner (Gerontology)
3535 N WEBB RD
WICHITA, KS 67226
Sedgwick County (316) 686-5300
MASON WEBB RN
Registered Nurse (General Practice)
3535 N WEBB RD
WICHITA, KS 67226
Sedgwick County (316) 765-3976
DR. HUSSAM FARHOUD M.D.
Internal Medicine (Interventional Cardiology)
3535 N WEBB RD
WICHITA, KS 67226
Sedgwick County (316) 686-5300
DR. SHILPA G. KSHATRIYA MD
Internal Medicine (Cardiovascular Disease)
3535 N WEBB RD
WICHITA, KS 67226
Sedgwick County (316) 686-5300

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 Fox's NPI number?

The NPI number for Matthew Fox is 1245117175. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Matthew Fox located?

Matthew Fox practices at 3535 N Webb Rd, Wichita, KS 67226. The listed phone number is (316) 686-5300.

What is Matthew Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Matthew Fox enrolled in Medicare?

Yes. Matthew Fox 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 Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fox reassigns Medicare benefits to Heartland Cardiology, LLC (Wichita, KS). 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 Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Matthew Fox 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.

Is Matthew Fox affiliated with any hospitals?

According to CMS data, Matthew Fox is affiliated with Wesley Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Fox was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.