JAMES MALCOLM MATTHEWS NP
NPI 1740161835
Nurse Practitioner - Acute Care in Denver, CO

Active since September 08, 2025PECOS EnrolledAccepts Medicare Assignment
1721 E 19TH AVE, DENVER, CO 80218(720) 754-4800 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, Sep 8, 2025 (2 updates tracked since 2025).

About James Malcolm Matthews Np NPPES

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

JAMES MALCOLM MATTHEWS NP (NPI 1740161835) is an individual acute care provider in Denver, Colorado, licensed in Colorado (APN.1001767-NP) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740161835
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJAMES MALCOLM MATTHEWSCredential: NP
Location Address1721 E 19TH AVEDenver, CO 80218-1251
Mailing Address1721 E 19th AveDenver, CO 80218-1251
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2025
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1740161835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CO · APN.1001767-NP
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN.1001767-NP (CO)
1721 E 19TH AVE, Denver, CO 80218

Accepted 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

James Malcolm Matthews Np 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 ID6305321803
PECOS Enrollment IDI20260402001129
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 James Matthews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hematology & Oncology
1721 E 19TH AVE STE 300
Denver, CO 80218
  • Reassigned Medicare billing, Colorado enrollment
  • 41 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80218 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Psychiatry & Neurology (Psychiatry)
1721 E 19TH AVE, SUITE 528
DENVER, CO 80218
Radiology (Radiation Oncology)
1721 E 19TH AVE, #520
DENVER, CO 80218
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1721 E 19TH AVE, SUITE 454
DENVER, CO 80218
Student in an Organized Health Care Education/Training Program
1721 E 19TH AVE, SUITE 520
DENVER, CO 80218
Dietitian, Registered
1721 E 19TH AVE
DENVER, CO 80218
Dietitian, Registered
1721 E 19TH AVE, SUITE 404
DENVER, CO 80218
Physician Assistant
1721 E 19TH AVE, # 434
DENVER, CO 80218
Pediatrics (Pediatric Pulmonology)
1721 E 19TH AVE, SUITE 244
DENVER, CO 80218

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 James Matthews's NPI number?

The NPI number for James Matthews is 1740161835. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is James Matthews located?

James Matthews practices at 1721 E 19th Ave, Denver, CO 80218. The listed phone number is (720) 754-4800.

What is James Matthews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is James Matthews enrolled in Medicare?

Yes. James Matthews 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 James Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Matthews reassigns Medicare benefits to Healthone Clinic Services - Oncology Hematology LLC (Denver, CO). 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 James Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Matthews accept?

Health plans from UnitedHealthcare list James Matthews 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 James Matthews was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.