MR. MATTHEW ROBERT BAXTER PMHNP-C
NPI 1164239968
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Active since December 16, 2024PECOS EnrolledAccepts Medicare Assignment
1220 WILLIS AVE, DAYTONA BEACH, FL 32114(800) 539-4228 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Dec 16, 2024 (2 updates tracked since 2024).

About Mr. Matthew Robert Baxter Pmhnp-c NPPES

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

MR. MATTHEW ROBERT BAXTER PMHNP-C (NPI 1164239968) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (APRN11044631) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Palm Coast, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164239968
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MATTHEW ROBERT BAXTERCredential: PMHNP-C
Location Address1220 WILLIS AVEDaytona Beach, FL 32114-2810
Mailing Address150 Magnolia AveDaytona Beach, FL 32114-4304 · (800) 859-4228
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 16, 2024
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1164239968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN11044631
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9287274 (FL)
1220 WILLIS AVE, Daytona Beach, FL 32114

Secondary Practice Location 1

Location 1381 Palm Coast Pkwy SW Unit 2Palm Coast, FL 32137-4782 · Phone (386) 232-8089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Matthew Robert Baxter Pmhnp-c 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 ID7810471240
PECOS Enrollment IDI20260324001131
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Registered Nurse (Psychiatric/Mental Health, Adult)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Nurse Practitioner (Family)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Nurse Practitioner (Psychiatric/Mental Health)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Nurse Practitioner (Psychiatric/Mental Health)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Licensed Practical Nurse
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Counselor (Mental Health)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Psychiatry & Neurology (Forensic Psychiatry)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Nurse Practitioner (Psychiatric/Mental Health)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114

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 Baxter's NPI number?

The NPI number for Matthew Baxter is 1164239968. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Matthew Baxter located?

Matthew Baxter practices at 1220 Willis Ave, Daytona Beach, FL 32114. The listed phone number is (800) 539-4228.

What is Matthew Baxter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Matthew Baxter enrolled in Medicare?

Yes. Matthew Baxter 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.

When was this NPI record last updated?

The NPPES record for Matthew Baxter was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.