MATTHEW USMILLER
NPI 1801543004
Dietitian, Registered in Gulfport, MS

Q: What is Matthew Usmiller's NPI number?

The NPI number for Matthew Usmiller is 1801543004. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Q: What is Matthew Usmiller's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Usmiller was last updated on March 7, 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.

Active since March 07, 2022

12509 OAK FOREST DR, GULFPORT, MS 39503(228) 860-5636 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Matthew Usmiller NPPES

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

MATTHEW USMILLER (NPI 1801543004) is an individual dietitian, registered in Gulfport, Mississippi, licensed in Mississippi (86070183) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1801543004

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMATTHEW USMILLER

Location Address12509 OAK FOREST DRGulfport, MS 39503-5730

Mailing Address12509 Oak Forest DrGulfport, MS 39503-5730

Phone(228) 860-5636

Sole ProprietorNo

Enumeration DateMarch 7, 2022

NPPES CertifiedMarch 7, 2022

✔ NPI 1801543004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MS · 86070183

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

12509 OAK FOREST DR, Gulfport, MS 39503

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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 (PECOS)

Matthew Usmiller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Dhhs,phs,naihs,gallup Indian Medical Center

1,190 mi

Skilled Nursing Facility

3720 CHURCH ROCK ST
Gallup, NM 87301

Reassigned Medicare billing, Texas enrollment
618 clinicians in this Medicare group

NPI 1245409960 (505) 722-1000

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

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 Usmiller's NPI number?

The NPI number for Matthew Usmiller is 1801543004. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Matthew Usmiller located?

Matthew Usmiller practices at 12509 Oak Forest Dr, Gulfport, MS 39503. The listed phone number is (228) 860-5636.

What is Matthew Usmiller's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Matthew Usmiller enrolled in Medicare?

Yes. Matthew Usmiller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Usmiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Usmiller reassigns Medicare benefits to Dhhs,phs,naihs,gallup Indian Medical Center (Gallup, NM). 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 Usmiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Usmiller accept?

Health plans from Blue Cross Blue Shield of Arizona list Matthew Usmiller 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 Usmiller was last updated on March 7, 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.