NPI age
4 years
Enumerated 2021-09-21
● Active
Type 1 · Individual
Cody William Matthews, NURSE PRACTITIONER
Matthews is 1 of 6 nurse practitioner providers in Burley and 1 of 658 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
4 years
↓ 4 yr below median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-09Enumerated in NPPES
2021
2026
Where they practice
Practice location
1404 Pomerelle Ave Ste B
Burley, ID 833182013
Mailing address
1404 Pomerelle Ave Ste B
Burley, ID 833182013
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.