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MRS. WINFRED KEMUNTO MATONDA
NPI 1144853797
Family Medicine in Fort Worth, TX

Active since February 21, 2020PECOS EnrolledAccepts Medicare Assignment
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 250-2661 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Winfred Kemunto Matonda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. WINFRED KEMUNTO MATONDA (NPI 1144853797) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (AP144055) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144853797
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. WINFRED KEMUNTO MATONDA
Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122
Mailing Address1301 Pennsylvania AveFort Worth, TX 76104-2122 · (817) 250-2661
Phone(817) 250-2661
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 21, 2020
✔ NPI 1144853797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · AP144055
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1301 PENNSYLVANIA AVE, Fort Worth, TX 76104
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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

Mrs. Winfred Kemunto Matonda 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.

PECOS PAC ID6608248281
PECOS Enrollment IDI20230208000034
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Winfred Matonda reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhhs Ihs Phoenix
908 mi
Clinic/Center
1 MAIN ST
Supai, AZ 86435
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dhhs Ihs Phoenix Area
  • 210 clinicians in this Medicare group
NPI 1184901829 (928) 448-2641
Dhhs Ihs Phoenix Area
984 mi
Critical Access
12033 AGENCY RD
Parker, AZ 85344
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
NPI 1851678585 (928) 669-2137
Irene Benn Medical Center
1,021 mi
Clinic/Center
10 LINCOLN ST
Moapa, NV 89025
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1841535317 (775) 784-5327
Maniilaq Association
3,345 mi
Public Health, Federal
51003 MAIN ST.
Kobuk, AK 99751
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
NPI 1265709901 (907) 948-2221

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 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEIDI DANIELLE TOMLINSON M.D.
Pediatrics
1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104
Tarrant County (817) 250-2892
RICARDO VILLARREAL JR. MD
Internal Medicine
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3117
JANA MITCHELL RNC
Registered Nurse (Neonatal Intensive Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3120
STACY LYNN ROSEBROOK APRN, NNP-BC
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3120
JESSE BURNETT PHARMD
Pharmacist
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-2000
ALLYSON CLAIRE MURRAY MSN, RNC, NNP
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-2000
MS. PATRICIA L. GILLUM CRNA
Nurse Anesthetist, Certified Registered
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-3680
EMILY SUE WOOD RNC, NNP
Nurse Practitioner (Neonatal, Critical Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-2892

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 Winfred Matonda's NPI number?

The NPI number for Winfred Matonda is 1144853797. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Winfred Matonda located?

Winfred Matonda practices at 1301 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 250-2661.

What is Winfred Matonda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Winfred Matonda enrolled in Medicare?

Yes. Winfred Matonda 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 Winfred Matonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Winfred Matonda reassigns Medicare benefits to 4 organizations: Dhhs Ihs Phoenix (Supai, AZ), Dhhs Ihs Phoenix Area (Parker, AZ), Irene Benn Medical Center (Moapa, NV) and Maniilaq Association (Kobuk, AK). 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 Winfred Matonda'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 Winfred Matonda was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.