HERBERT MATANGA CNP
NPI 1003664525
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent in Rogers, MN
About Herbert Matanga Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERBERT MATANGA CNP (NPI 1003664525) is an individual psychiatric/mental health, child & adolescent provider in Rogers, Minnesota, licensed in Minnesota (11557) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Herbert Matanga Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Herbert Matanga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maple Grove, MN 55311
- Reassigned Medicare billing, Minnesota enrollment
- 10 clinicians in this Medicare group
Delano, MN 55328
- Reassigned Medicare billing, Minnesota enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROGERS, MN 55374
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 Herbert Matanga's NPI number?
The NPI number for Herbert Matanga is 1003664525. It was assigned to this individual provider in the NPPES registry on May 9, 2024.
Where is Herbert Matanga located?
Herbert Matanga practices at 19427 136th Ave N, Rogers, MN 55374. The listed phone number is (763) 516-4476.
What is Herbert Matanga's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 364SP0807X.
Is Herbert Matanga enrolled in Medicare?
Yes. Herbert Matanga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Herbert Matanga's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Herbert Matanga reassigns Medicare benefits to 2 organizations: Yourtime Psychiatry And Medical Cannabis LLC (Maple Grove, MN) and Integrated Wound Care Minnesota PLLC (Delano, MN). Each 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 Herbert Matanga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Herbert Matanga accept?
Health plans from HealthPartners list Herbert Matanga 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 Herbert Matanga was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Herbert Matanga, CNP · NPI 1003664525
Psychiatric/Mental Health, Child & Adolescent physician in Rogers, Minnesota. Individual provider, active in the CMS NPPES registry since May 9, 2024.
## Identity
- **NPI:** 1003664525 (Entity type: Individual)
- **Enumerated:** May 9, 2024
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent · taxonomy 364SP0807X
- **State license:** 11557 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 19427 136TH AVE N, Rogers, MN 55374-4834
- **Phone:** (763) 516-4476
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Yourtime Psychiatry And Medical Cannabis LLC (NPI 1164112090, Maple Grove, MN); Integrated Wound Care Minnesota PLLC (NPI 1205390457, Delano, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003664525) · Data from the CMS NPPES public registry.