Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Ryan Foulks, APRN-CNP

Individual provider Acute Care Nurse Practitioner · NPI 1528741139

Matthew Ryan Foulks, APRN-CNP is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2022, 4 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

20 Medical Village Dr
Edgewood, KY 41017-5401
Phone: (859) 344-1512
Fax: (859) 331-3698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4007698 (KY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 1174274 (KY)

Record details

NPI number1528741139
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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