MATTHEW MITCHELL NP
NPI 1104600428
Nurse Practitioner - Acute Care in Temecula, CA
About Matthew Mitchell Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW MITCHELL NP (NPI 1104600428) is an individual acute care provider in Temecula, California, licensed in California (95026630) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Temecula.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Mitchell Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthew Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Upland, CA 91786
- Reassigned Medicare billing, California enrollment
- 20 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 92592 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Matthew Mitchell's NPI number?
The NPI number for Matthew Mitchell is 1104600428. It was assigned to this individual provider in the NPPES registry on August 21, 2023.
Where is Matthew Mitchell located?
Matthew Mitchell practices at 31573 Rancho Pueblo Rd Ste 210, Temecula, CA 92592. The listed phone number is (508) 979-0407.
What is Matthew Mitchell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Matthew Mitchell enrolled in Medicare?
Yes. Matthew Mitchell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Matthew Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mitchell reassigns Medicare benefits to Synergy Ct Surgery Partnership (Upland, CA). The 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 Matthew Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Mitchell was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Matthew Mitchell, NP · NPI 1104600428
Acute Care physician in Temecula, California. Individual provider, active in the CMS NPPES registry since August 21, 2023.
## Identity
- **NPI:** 1104600428 (Entity type: Individual)
- **Enumerated:** August 21, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95026630 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 31573 RANCHO PUEBLO RD STE 210, Temecula, CA 92592-4853
- **Phone:** (508) 979-0407
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Synergy Ct Surgery Partnership (NPI 1366711236, Upland, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104600428) · Data from the CMS NPPES public registry.