MATTHEW CLARK FANNING PMHNP-BC
NPI 1699568444
Nurse Practitioner - Psychiatric/Mental Health in Tuscaloosa, AL
About Matthew Clark Fanning Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW CLARK FANNING PMHNP-BC (NPI 1699568444) is an individual psychiatric/mental health provider in Tuscaloosa, Alabama, licensed in Alabama (1-105627) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Clark Fanning Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSCALOOSA, AL 35401
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 Fanning's NPI number?
The NPI number for Matthew Fanning is 1699568444. It was assigned to this individual provider in the NPPES registry on May 26, 2025.
Where is Matthew Fanning located?
Matthew Fanning practices at 1401 Greensboro Ave, Tuscaloosa, AL 35401. The listed phone number is (205) 391-4000.
What is Matthew Fanning's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Matthew Fanning enrolled in Medicare?
Yes. Matthew Fanning is registered in the Medicare PECOS enrollment system.
What insurance does Matthew Fanning accept?
Health plans from Blue Cross and Blue Shield of Alabama list Matthew Fanning 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 Fanning was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Matthew Clark Fanning, PMHNP-BC · NPI 1699568444
Psychiatric/Mental Health physician in Tuscaloosa, Alabama. Individual provider, active in the CMS NPPES registry since May 26, 2025.
## Identity
- **NPI:** 1699568444 (Entity type: Individual)
- **Enumerated:** May 26, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1-105627 (Alabama)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1401 GREENSBORO AVE, Tuscaloosa, AL 35401-2842
- **Phone:** (205) 391-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Alabama School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** May 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699568444) · Data from the CMS NPPES public registry.