Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody William Matthews, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1306517271

Cody William Matthews, NURSEPRACTITIONER is a Nurse Practitioner in Burley, Idaho. Qualified in 2021, 5 years ago. Practices with R. Bret Campbell, DO and Assoc, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021

Practice location Address checks out

1404 Pomerelle Ave Ste B
Burley, ID 83318-2013
Phone: (208) 878-9432
Fax: (208) 878-9432
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 60234 (ID)

Record details

NPI number1306517271
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 21, 2021
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address1404 Pomerelle Ave Ste B, Burley, ID 83318-2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice R. Bret Campbell, Do And Assoc, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Burley