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

Matthew Allen Hussong, AGNP-C

Individual provider Registered Nurse · NPI 1366060691

Matthew Allen Hussong, AGNP-C is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2020, 6 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and New York.

Years since qualifying
6
Licensed in
IN, NY
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone: (317) 621-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 E 68th St, New York, NY 10065-4870 — (212) 746-1664

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71010218A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28213561A (IN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 311191 (NY)

Record details

NPI number1366060691
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJuly 13, 2020
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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